Senior Software Engineer (PHP)

We're not hiring someone to "write code." We're hiring someone to own systems healthcare organizations bet patient safety on. Senior Software Engineer | Remote, U.S. | $150K–$160K Here's the truth: most "senior engineer" postings are a list of buzzwords stapled to a comp range. This isn't that. We're building the backend infrastructure behind a healthcare SaaS platform—the kind that touches sensitive patient data at scale, integrates with EHRs, and can't afford to be "mostly right." Correctness isn't a nice-to-have here. It's the job. If you've spent 7+ years in the trenches of production systems—the ones other teams depend on, the ones that page you at 2am when they break—you already know what we're looking for. This role is for you if: → You think in systems, not just features → You've owned architecture decisions that outlived your original team → You're fluent in React, PHP/Zend, or Ruby/Rails, and can write SQL that doesn't make DBAs wince → You see ambiguity as a problem to solve, not a reason to wait for direction → You want your code to matter past the next sprint Bonus points if you've worked with FHIR, HL7, HIPAA/HITRUST environments, or AWS + IaC — but we'll take real judgment over checkbox experience every time. What you get: Fully remote, U.S.-based $150K–$160K + strong benefits (401k match, HSA/FSA, the works) Real influence over platform architecture—not just ticket-closing A low-ego team that argues about tradeoffs, not egos This is engineering where shortcuts show up later—in a hospital, in a chart, in someone's care. If that raises the stakes for you instead of scaring you off, let's talk. #HealthTech #RemoteJobs #SeniorSoftwareEngineer #BackendEngineering #HealthcareIT #NowHiring #TechJobs #HIPAA #FHIR #PHP #EngineeringLeadership