Senior Full Stack Engineer (Laravel, Next JS, & Integrations)

About ProviderNow ProviderNow is the healthcare platform you've always wished existed—and will actually use. We're transforming how people access healthcare by making high-quality care simple, transparent, and affordable through nationwide virtual care, transparent pricing, affordable pharmacy solutions, and an AI-powered healthcare platform. Following our successful launch, we're expanding our platform, strengthening our provider ecosystem, and adding new services and capabilities. We're looking for an experienced engineer who enjoys solving complex technical problems and building reliable healthcare technology that serves real people every day. Your Opportunity We're seeking a hands-on Senior Software Engineer to work directly with our Senior Tech Lead and CEO. This is a development-first role. You'll spend the majority of your time designing, building, integrating, troubleshooting, and improving the ProviderNow platform. You'll own meaningful technical initiatives from design through deployment while partnering closely with our Senior Tech Lead to build secure, scalable, and maintainable software. We're looking for someone who enjoys taking ownership, solving difficult engineering problems, and shipping high-quality code quickly. What You'll Do Design, develop, and maintain backend services using PHP (Laravel). Develop modern frontend functionality using JavaScript. Design, build, and own integrations with Electronic Health Record (EHR) systems, provider networks, pharmacy partners, payment platforms, and other third-party APIs. Ensure healthcare and application data is transmitted, processed, and stored securely. Build secure, scalable REST APIs and backend services. Troubleshoot production issues, identify root causes, and implement long-term solutions. Write clean, maintainable, well-tested, and well-documented code. Participate in architecture discussions and contribute practical engineering recommendations. Collaborate closely with the Senior Tech Lead on feature planning, code reviews, and technical execution. Work within Azure DevOps using Boards, Repos, Pull Requests, Pipelines, and CI/CD best practices. Develop and maintain queues, scheduled jobs, background processes, and asynchronous workflows. Continuously improve platform performance, reliability, scalability, and maintainability. What We're Looking For The ideal candidate has: 5+ years of professional software engineering experience. Strong experience building production applications with PHP and Laravel. Strong JavaScript experience. Experience designing and integrating REST APIs and third-party services. Experience working with Azure DevOps, including Boards, Repos, Pull Requests, and Pipelines. Experience troubleshooting production systems and complex software issues. Strong understanding of authentication, authorization, API security, and secure application development. Experience building scalable backend systems. Experience working with queues, asynchronous processing, scheduled jobs, and background workers. Strong debugging and problem-solving skills. Excellent written and verbal communication skills. A bias toward action with a passion for shipping high-quality, production-ready software. We’re looking for engineers who enjoy owning features from design through deployment, not developers who simply complete assigned tickets. You should be comfortable thinking beyond the code by identifying potential issues, recommending improvements, collaborating across the team, and taking ownership of delivering high-quality solutions. Preferred Experience Experience with any of the following is a plus: Healthcare technology Electronic Health Record (EHR) integrations FHIR or HL7 standards Microsoft Azure Payment gateway integrations HIPAA-compliant applications CI/CD pipelines Distributed or event-driven systems High-availability web applications What Success Looks Like Within your first six months, you'll: Become a trusted engineering partner to the Senior Tech Lead. Successfully deliver key platform enhancements and third-party integrations. Improve the reliability, scalability, and maintainability of the ProviderNow platform. Help accelerate development velocity through thoughtful engineering and high-quality code. Take ownership of major technical features from design through deployment. Help strengthen the technical foundation that supports ProviderNow's continued growth. Opportunity for Growth As ProviderNow continues to scale, this role offers the opportunity to take on increasing technical ownership and grow alongside a rapidly expanding healthcare technology company. We're committed to promoting high performers and providing opportunities for long-term growth as our engineering organization expands. Why Join ProviderNow? You'll help build technology that genuinely improves access to healthcare while solving challenging engineering problems involving healthcare integrations, secure APIs, cloud infrastructure, and scalable software systems. You'll work directly with experienced leadership in a fast-moving startup where your ideas matter, your contributions are visible, and your work reaches production quickly. If you're passionate about building modern software, solving difficult technical problems, and making a measurable impact, we'd love to hear from you.