[Remote] Backend Engineer (PHP/Laravel)

Note The job is a remote job and is open to candidates in USA. MD Integrations partners with digital health brands to power clinical care at scale, specializing in telehealth solutions. The Backend Engineer (PHP/Laravel) will design, develop, and maintain server-side applications, ensuring system performance and stability while collaborating with cross-functional teams. Responsibilities 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 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 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 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 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 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 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 Identify opportunities to formalize and document internal processes, workflows, and troubleshooting playbooks, building a knowledge base that supports faster onboarding and more consistent support Skills 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 Benefits 75% subsidized health insurance Dental insurance Vision insurance Paid time off 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 Company Overview MD Integrations is a telemedicine company that provides virtual healthcare services. It was founded in 2020, and is headquartered in New York, New York, USA, with a workforce of 51-200 employees. Its website is https//mdintegrations.com.