Backend Engineer (PHP / Laravel)

The Backend Engineer (PHP / Laravel) designs, develops, and maintains scalable and reliable server-side applications to ensure the highest standard of system performance and stability. As a Backend Engineer, you will take ownership of features and services, troubleshoot complex issues, optimize existing code, and contribute to architectural decisions. You will work closely with cross-functional teams, including front-end dev, product, QA, and DevOps, collaborating both synchronously and asynchronously to deliver high-quality software, efficiently.

We are looking for a skilled, detail-oriented engineer who is comfortable with full-stack collaboration, enjoys solving challenging problems, and thrives in a remote-first, fast-paced environment.

Key Responsibilities

1. Design, build, and optimize high-throughput RESTful APIs in PHP using the Laravel framework, writing efficient PostgreSQL queries and schema designs to support data-intensive clinical workflows. Contribute to new feature development and platform improvements within an Agile/Scrum process.
2. Build and maintain integrations with third-party APIs and internal services, deploying and running services in Docker containers across AWS (or comparable cloud) environments to ensure secure, reliable data exchange.
3. Write automated tests (unit, integration, and API-level) for PHP/Laravel back-end functionality and critical clinical workflows, and integrate them into CI/CD pipelines using Git/GitHub-based workflows and Docker to enable continuous testing and faster, more reliable releases.
4. Write and maintain clear technical documentation for troubleshooting guides, fixes, API integrations, and support processes, version-controlled through Git/GitHub for easy team access and updates.
5. Monitor application health, performance, and error logs using tools such as Rollbar and AWS CloudWatch to proactively identify and address potential issues before they affect patients or providers.
6. Identify, document, and track software defects, analyzing logs and debugging to pinpoint root causes, and work with the development team within Agile/Scrum sprints to prioritize and ensure timely resolution.
7. Actively participate in code reviews to uphold coding standards and engineering best practices. Continuously evaluate and improve our development processes, CI/CD pipelines, and tooling (Docker, monitoring/logging systems, cloud infrastructure) to enhance team efficiency, code quality, and release velocity.
8. Identify opportunities to formalize and document internal processes, workflows, and troubleshooting playbooks, building a knowledge base that supports faster onboarding and more consistent support.

Your Qualifications

• 5+ years of professional experience with PHP and Laravel framework.
• Experience working with AWS services like Lambdas, SES, Workers, etc.
• Solid knowledge of RESTful APIs, with ability to write automated API tests.
• Degree in Computer Science, Engineering, or equivalent combination of education and experience.
• Deep experience with SQL databases (preferably PostgreSQL), including schema design, queries, and performance optimization.
• Ability to use AI tools to boost productivity but does not rely on it to be able to perform.
• Experience working with version control systems (Git) and collaborative workflows (GitHub), including CI/CD pipelines and ability to integrate automated tests into the deployment process.
• Experience with Docker
• Knowledge of monitoring tools (e.g., Rollbar, CloudWatch, etc.)
• Located in the US and able to work full-time for a US employer without requiring visa sponsorship. E-Verify is used during new hire onboarding to confirm work authorization status.

Your Work DNA

• User-Centric: A genuine passion for helping customers succeed and a commitment to providing exceptional customer service.
• Proactive and Solution-Oriented: A proactive approach to identifying and resolving potential issues before they escalate.
• Team Player: Ability to work effectively as part of a team and collaborate with team members across different departments.
• Passion for Learning: A strong desire to learn and stay up-to-date on the latest trends and developments in telehealth and healthcare technology.

What We Offer

• Competitive Salary: The targeted range for this role is $105,000 to $140,000 per year commensurate with qualifications and experience.
• Comprehensive Benefits Package: Our benefits package includes 75% subsidized health insurance, dental insurance, vision insurance, paid time off, and a 401(k) plan with company match.
• Professional Development Opportunities: We are committed to investing in our employees' professional development and offer a variety of on the job training and development opportunities.
• Flexible Work Arrangements: We are a fully remote team who collaborate both synchronously and asynchronously to achieve the best outcomes.
• Collaborative and Supportive Work Environment: We foster a collaborative and supportive work environment where employees are encouraged to share ideas and contribute to the company's success.

About MD Integrations

At MD Integrations, we partner with digital health brands to power clinical care at scale. We specialize in men's and women’s health, dermatology, endocrinology, and weight management, offering telehealth solutions that help patients receive expert, personalized care—all from the comfort of their home. Join our team and be part of the movement to make specialty care more accessible and impactful.

MD Integrations is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We are unable to support US visa sponsorship at this time.