Senior Back-End Engineer (PHP, AWS, APIs, Healthcare Data Exchange)

Senior Backend Engineer (PHP & AWS)

Focus: US Healthcare & Data Exchange

Location: Remote (Reporting to USA)

Employment: Full-time,OpsXpress(India)

Client:Emmacare(USA)

Salary: No bar for top-tier talent.

About the Role

OpsXpress is seeking a high-calibre Senior Backend Engineer to join the core engineering team at

Emmacare, a leading US-based SaaS platform specializing in Chronic Care Management (CCM) and

Telehealth.

In this role, you will be the technical backbone for client onboarding and data integration. You will

bridge the gap between complex healthcare data ecosystems (EMRs) and our scalable AWS-driven

platform. This is a long-term career opportunity within a mission-driven US engineering organization.

Key Responsibilities

Architect & Implement: Lead the technical deployment of theEmmacareplatform for newUS healthcare clients.

Data Integration: Build andmaintainrobust data pipelines using REST APIs, HL7/FHIR, andEDI to ensure seamless exchange with EMRs.

Scalability:Optimizebackend services within our AWS infrastructure (ECS, EC2, RDS) tohandle high-volume clinical datasets.

Technical Leadership: Act as the primary technical point of contact during client onboarding,resolving complex implementation and interface challenges.

Documentation: Create rigorous technical documentation for integration workflows anddeployment best practices.

Technical Requirements

1. PHP Expertise (Strong Knowledge Required)

Advanced PHP: Deepproficiencyin modern PHP (7.4/8.x) and extensive experience with theSymfony framework.

Architecture: Proven ability to write clean, testable, and maintainable code following SOLIDprinciples and Design Patterns.

2. US Healthcare & Data Exchange (Mandatory: 1+ Year)

Industry Experience: Minimum 1 year of experience specifically within the US Healthcare ITsector.

Standards: Practical experience with healthcare data standards, specifically HL7 (v2/v3) andFHIR.

Workflows: Deep understanding of EDI workflows and secure messaging protocols (Direct,SFTP, etc.).

EMR Familiarity: Experience integrating with major US Electronic Medical Record systems(e.g., Epic, Cerner, Athenahealth).

3. Database Working Knowledge

SQL Mastery: Expert-levelproficiencyin leading databases (MySQL, SQL Server etc.).

Performance: Strong experience in query optimization, indexing strategies, and databaseschema design for high-concurrency environments.

Data Integrity: Deep understanding of ACID properties andmaintainingdata consistency incomplex healthcare environments.

4. Cloud & Infrastructure

AWS ecosystem: Daily hands-on experience with ECS, EC2, S3, and CloudWatch.

API Design: Expert knowledge of RESTful API design and lifecycle management.

Soft Skills & Logistics

Communication: Fluent English (C1-Advanced) with the ability to lead technical calls with US-based stakeholders and clinicians.

Time Zone: Flexibility tomaintainsignificant overlap with US Time Zones (EST/CST) for collaborative engineering sessions.

Problem Solving: A self-starter mindset with the ability to debug complex data discrepancies

independently.

Why Join Us

Impact: Build technology that directly improves patient outcomes in chronic care.

Stability: Long-term career growth with a stable, fast-growing US SaaS leader.

Growth: No bar salary for top-tier talent and a high-performance engineering culture.

Ready to build the future of HealthTech Apply now.

#BackendDeveloper #HealthcareIT #PHP #Symfony #AWS #Hiring #OpsXpress #Emmacare

#HealthData #FHIR