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Senior Full Stack Backend Engineer (PHP + React)

Remote · USA Full-time New today

At AlfaDocs, we’re on a mission to transform healthcare. Our software platform makes the daily lives of medical practices and patients easier by streamlining practice management and patient relationships. With our all-in-one, cloud-based solution, healthcare professionals can focus more on care and less on administration.

We take pride in our responsibility to deliver high-performance solutions while fostering a collaborative and respectful environment where everyone’s contributions are valued. We’re driven by a shared passion to make a lasting impact on the healthcare industry, creating a space where both our team and our customers thrive.

As our Senior Full Stack Backend Engineer (all genders), you’ll be responsible for secure, scalable feature development—owning the backend, shaping architecture, and mentoring the team.

  • Full Stack Development: Lead end-to-end feature development from concept to deployment, with a strong focus on security and scalability.
  • Architecture & Design: Drive architectural decisions to ensure compliance with healthcare industry standards and long-term system sustainability.
  • Cross-Functional Collaboration: Work closely with product managers, designers, and stakeholders to ensure technical solutions support business objectives.
  • Team Mentorship: Support junior developers through mentorship, fostering a culture of learning and innovation.
  • Automation & CI/CD: Implement automated testing, continuous integration, and deployment pipelines to maintain high code quality.
  • Technical Roadmapping: Contribute to planning by evaluating technical feasibility, estimating timelines, and identifying resource needs.
  • Industry Awareness: Stay informed about emerging technologies and industry trends to continuously improve product and process efficiency.
  • Team Culture: Promote a positive team atmosphere with humor and optimism, helping maintain morale and collaboration during high-pressure periods.

Requirements

  • Experience: Minimum 8 years of professional experience, with at least 3 years in a senior role.
  • Symfony: Extensive experience with Symfony, including deep knowledge of Doctrine ORM and key Symfony components (e.g., Security, Event Dispatchers).
  • Domain-Driven Design (DDD): Advanced understanding and practical experience with DDD principles.
  • Security: Awareness of security best practices for frontend and backend development, particularly when handling sensitive healthcare data.
  • Testing: Proficient in writing and maintaining unit and integration tests.
  • Frontend Development: Solid understanding of React.js, with the ability to improve frontend as needed.
  • Database Management: Strong experience with MySQL, including design, optimization, and management.
  • Containerization: Experience with Docker for managing development environments.
  • CI/CD: Familiarity with GitLab CI/CD pipelines for automating build, test, and deployment processes.
  • Problem-Solving: Strong problem-solving skills and critical thinking abilities.
  • Communication: Excellent communication skills, with the ability to collaborate with cross-functional teams and convey technical concepts to non-technical stakeholders.

Administrative Info

  • Location: Our offices are in Italy & Germany, but this role is remote - you can be based anywhere in the European Union (we don't offer any relocation support).
  • Contract: Every Alfa begins their journey with a fixed-term contract of 1 year with the aim of renewing to an indefinite term.
  • Equipment: laptop, headphones, keyboard, mouse, and a dedicated office monitor.
  • Working hours: Monday - Friday | 09:00 - 18:00 | 1-hour lunch break
  • Trial Period: Dependent on the country of your residence
  • Start Date: Dec2025/Jan2026

Benefits

  • Welfare bonus on a monthly basis
  • Bonus for paid English or German language courses.
  • Training courses, books, workshops, and team-building activities for personal and professional growth.
  • Partnership with Serenis (an online psychotherapy platform) - three sessions offered if needed.
  • Team Building Budget
  • Team Development Budget
  • Regular company reunions (yearly meetups, Christmas dinner)
  • Snacks and fruit always available in the office, along with good beer at the end of the week.
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