Senior Fullstack PHP Engineer (HealthTech)

TL;DR

Senior Fullstack PHP Engineer (HealthTech): Owning and evolving the platform architecture within a Symfony-based system, making high-impact decisions across scalability, performance, and maintainability. Focus on designing and building backend services and internal APIs, optimizing relational databases, and building and scaling data ingestion pipelines.

Location: Remote in the USA

Salary: up to $190,000 per annum

Company

Innovative HealthTech organisation building scalable, high-performance platforms within a complex, data-rich environment.

What you will do

• Own and evolve platform architecture within a Symfony-based system.
• Provide technical leadership, mentorship, and code reviews.
• Design and build backend services and internal APIs.
• Design and optimise relational databases.
• Build and scale data ingestion pipelines and event-driven workflows using GCP Pub/Sub.
• Contribute to frontend where possible, or collaborate with frontend developers, ensuring smooth backend integration.

Requirements

• 10+ years backend engineering (production systems).
• Strong PHP and Symfony expertise.
• Strong MySQL optimisation (queries, indexing, large datasets).
• Hands-on GCP (Cloud SQL, Pub/Sub, Redis/Memorystore), or equivalent on other cloud platforms.
• Containerised environments (Docker, Kubernetes/GKE/EKS/AKS).
• Testing + quality tooling (PHPUnit, PHPStan, Psalm, GrumPHP).

Nice to have

• Experience with PHP API Platform.
• Familiarity with event-driven systems and asynchronous processing patterns.
• Experience with multi-tenant systems or rules-based configuration models.

Culture & Benefits

• Generous Paid Time Off (PTO) to support work-life balance.
• Comprehensive health, vision, and dental insurance for you and your family.
• Life and disability insurance for financial security.
• Simple IRA matching to support long-term financial goals.
• Professional development budget (conferences, courses, certifications).
• Wellness programs supporting physical and mental health.