Senior Backend Engineer (Tech)

About Us Housecall is a tech-enabled primary care company delivering virtual and in-person care with a mission to measurably improve healthcare outcomes and people’s quality of life.

Senior Backend Software Engineer (PHP / Laravel)
Housecall is redefining primary healthcare delivery with an AI-enabled technology platform. Join a small, ambitious team building the core applications behind a modern care experience. You’ll help shape and scale the backend services that power patient and provider experiences. This includes reliable APIs, high-throughput data workflows, and integrations that support care delivery. As a senior engineer, you’ll own technical direction for key areas, raise engineering standards, and mentor teammates.

We’re looking for a Senior Backend Software Engineer with deep PHP / Laravel experience to lead the design and evolution of core platform services. You’ll partner closely with product, frontend, and mobile engineers to deliver critical features, improve performance and reliability, and drive best practices across the codebase and delivery pipeline.

Own and lead backend initiatives end-to-end: discovery, technical design, delivery, rollout, and iteration.
Architect, build, and maintain backend services and REST APIs using Laravel/PHP.
Drive system performance and production reliability (monitoring, incident response, root-cause fixes).
Embed security into development with secure coding practices, least-privilege access, secrets handling, audit logging, encryption where appropriate. Support evidence collection for audits (policies, controls, change history, traceability)
Design and evolve data models; manage migrations and ensure data integrity for MySQL and other database technologies.
Establish and uplift engineering standards: code quality, testing strategy, API conventions, observability, and security practices.
Contribute to CI/CD pipelines and deployment workflows.
Collaborate cross-functionally to translate product requirements into scalable technical solutions.
Create and maintain clear technical documentation (APIs, runbooks, architectural decision records).

5+ years building production backend systems, including 3+ years with PHP and Laravel.

• Strong relational database expertise (PostgreSQL/MySQL): schema design, indexing, query plans, migrations, and performance tuning.
• Strong testing mindset and execution (unit/feature/integration; Experience with production operations: debugging, monitoring, incident response, and postmortems.
• Strong communication and ability to lead technical discussions in a remote, cross-functional team.

Experience with CI/CD tooling such as Azure DevOps, GitHub Actions, GitLab CI, CircleCI, etc.
Cloud experience (Azure/AWS/GCP).