Help plan the platform's architectural direction across billing, practice management and clinical workflows
Drive architecture and system design discussions
Write ADRs and run design reviews
Refactor legacy PHP/Laravel, MySQL and frontend code
Sequence the work so we keep shipping while we improve
Define service boundaries, data ownership, API contracts and frontend architecture
Build features end to end, from database schema to UI, including UX, accessibility and performance
Partner with DevOps on CI/CD pipelines
Set up and improve build, test and deploy flows
Mentor mid-level and junior engineers through pairing, code review and design feedback
Build AI features and LLM-assisted workflows into the product where they add value
Lead during incidents and write the postmortems
Turn lessons into systemic fixes

Strong production experience with PHP, Laravel and MySQL
Frontend experience with React or Vue in production
TypeScript and modern JavaScript
Solid CSS and SCSS, HTML5, accessibility, and modern build tooling (Vite, Webpack or similar)
REST API design experience
Comfortable with contracts, versioning and error handling
Strong system design skills
You can break a problem down and design a working solution end to end
You write clean, readable, testable code as standard
Comfortable refactoring legacy code without stalling delivery
Production experience with AWS or Azure
Experience setting up CI/CD flows (GitHub Actions, Azure DevOps or similar)
Comfortable with ambiguity
Happy to scope, prioritise and drive work
Experience mentoring engineers, formally or informally
Working knowledge of GDPR and UK GDPR around data handling and access
Effective use of AI developer tools (Claude, Codex, Cursor or similar)
Knows what they're good for and what they aren't
Familiar with common OWASP threats and writes code that defends against them.

Staff Full Stack Engineer

Key skills