Jobs in the United States

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Principal Technical Product Manager
Stellantis
Auburn Hills, MI
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Critical Facilities Technician
TEKsystems
Jeffersonville, OH
- $25 to $30 USD / hour
The Data Center Operations Engineer is responsible for supporting the day-to-day engineering operations of a mission-critical data center environment. This role focuses on maintaining the…
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Data Center Engineer Operator
TEKsystems
Jeffersonville, OH
- $23 to $25 USD / hour
We are seeking Data Center Engineer Operator to support a large-scale data center operation in the Greater Columbus Area. This role is ideal for individuals with mechanical, electrical,…
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Data & ML Engineer
Luxottica of America Inc.
Mason, OH
…by following us on LinkedIn! GENERAL FUNCTION The Data & ML Engineer is a self-sufficient engineering professional responsible for designing, building, and operating scalable, secure, and…
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Accenture Construct- Transportation Construction Inspector, ANS
Accenture
Akron, OH
- $35 to $48 USD / hour
Applicants for employment in the US must have work authorization that does not now or in the future requi
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Engineer (Master)
SSOE, Inc
Toledo, OH
Engineer (Master) Job Locations US-OH-Toledo ID 2026-4020 Category Engineering Type Part Time Overview You don't have to be an employee long before you understand the SSOE difference. It…
Added 1 min ago
Associate Clinical Specialist, Pain Interventions - Cincinnati, OH
Medtronic
Cincinnati, OH
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Member of Product Staff
Meta
Columbus, OH
Integrate data, usability studies, research, and market analysis into product strategies and requirements to enhance user satisfaction and improve engineer productivity.
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Lead Director - Security Operations Center (SOC)
CVS Health
Columbus, OH
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Sr Staff Database Engineer
The Hartford
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Senior Staff Infrastructure Engineer - IEB07BE
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Senior Director Software Engineering
Capital One
Columbus, OH
As a Senior Director, Full-stack Engineer at Capital One, you will lead high-performing engineering teams working to define the future of banking in the cloud. You will partner closely with…
Added 1 min ago
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Server Tech Services Engineer II
Akamai Technologies, Inc.
Columbus, OH
- $76,100 to $136,900 USD / year
As a Server Tech Services Engineer II, you will serve as a key technical leader. You will resolve high-severity hardware and network issues across Akamai's infrastructure. In this role, you…
Added 1 min ago
AI Solutions Engineer-Wealth Management Marketing
JPMorgan Chase
Columbus, OH
Take AI from a promising idea to a tool that a marketing team uses every day. As an AI Solutions Engineer, you’ll work directly with content and creative teams to tackle repetitive tasks,…
Added 1 min ago
AI/ML Engineer Intern
Intermountain Health
Columbus, OH
Added 1 min ago
Reverse Engineer - Android
Trellix
Columbus, OH
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AI Engineer – Agentic AI & Applied Generative AI- Senior Associate
PwC
Columbus, OH · Cincinnati, OH · Cleveland, OH
What You Must Have
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Product Content Engineer
Meta
Columbus, OH
…experiences actually work for people.We're looking for a Content Engineer who will partner with Meta’s agent tooling team to define model quality standards and target behaviors for Meta’s…
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Instrumentation & Controls Engineer SME – Hyperscale Data Centers
Jacobs
Cincinnati, OH · Columbus, OH · Troy, OH
Registered Professional Engineer (PE) required.
Added 1 min ago
Product Security Engineer - Team Lead
Meta
Columbus, OH
Product Security Engineer - Team Lead Responsibilities:
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Digital Twin Simulation Engineer
BOOZ, ALLEN & HAMILTON, INC.
Beavercreek, OH
Added 1 min ago
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Forward Deployed AI/ML Engineer IV
Eliassen Group
Columbus, OH
- $170,000 to $190,000 USD / year
As a Forward Deployed Engineer, AI/ML, you will join our client's AI and Data Engineering (AIDE) team and embed directly with utility clients to understand their hardest operational…
Added 2 mins ago
Data Engineer (Clinical)
Zifo
Remote, United States
…pipelines using the latest in Big Data Cloud Infrastructure and engineer new data analytics/visualization capabilities. You will empower our clients to build their future data landscape for…
Added 3 mins ago
Project Engineer - Aircraft
Whisper Aero
Nashville or Crossville, TN
Whisper Aero is seeking a Project Engineer who will work with cross-functional engineering teams within Whisper to coordinate timing and execution of projects in Tennessee. In this role,…
Added 4 mins ago
Lead Data Engineer, Databricks (Remote, US)
V4C.ai
Remote, United States
As a Lead Data Engineer, you will lead the build of production Lakehouse pipelines on customer engagements, working directly with customers and often Databricks' own field teams. Every…
Added 4 mins ago
Databricks Engineer (Remote, US)
V4C.ai
Remote, United States
As a Databricks Engineer, you will build and optimize production pipelines on the Databricks Lakehouse, working directly with customers and often Databricks' own field teams. Every…

MD Integrations

Senior Backend Engineer

Remote, United States

$140,000 to $175,000 USD / year

Apply on ats.rippling.com About employer

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Job details

Pay: $140,000 to $175,000 USD / year
Experience: 8-10+ years of professional experience with PHP and Laravel framework.
Posting language: English
Posted: Nov 13, 2026

Original job description

About MD Integrations At MD Integrations, we partner with digital health brands to power clinical care at scale. We specialize in men's and women’s health, dermatology, endocrinology, and weight management, offering telehealth solutions that help patients receive expert, personalized care - all from the comfort of their home. Join our team and be part of the movement to make specialty care more accessible and impactful.

MD Integrations is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We are unable to support US visa sponsorship at this time.

Backend Engineer (PHP / Laravel) The Backend Engineer (PHP / Laravel) designs, develops, and maintains scalable and reliable server-side applications to ensure the highest standard of system performance and stability. As a Backend Engineer, you will take ownership of features and services, troubleshoot complex issues, optimize existing code, and contribute to architectural decisions. You will work closely with cross-functional teams, including front-end dev, product, QA, and DevOps, collaborating both synchronously and asynchronously to deliver high-quality software, efficiently. We are looking for a skilled, detail-oriented engineer who is comfortable with full-stack collaboration, enjoys solving challenging problems, and thrives in a remote-first, fast-paced environment.

Key Responsibilities

Design, build, and optimize high-throughput RESTful APIs in PHP using the Laravel framework, writing efficient PostgreSQL queries and schema designs to support data-intensive clinical workflows. Contribute to new feature development and platform improvements within an Agile/Scrum process.
Build and maintain integrations with third-party APIs and internal services, deploying and running services in Docker containers across AWS (or comparable cloud) environments to ensure secure, reliable data exchange.
Write automated tests (unit, integration, and API-level) for PHP/Laravel back-end functionality and critical clinical workflows, and integrate them into CI/CD pipelines using Git/GitHub-based workflows and Docker to enable continuous testing and faster, more reliable releases.
Write and maintain clear technical documentation for troubleshooting guides, fixes, API integrations, and support processes, version-controlled through Git/GitHub for easy team access and updates.
Monitor application health, performance, and error logs using tools such as Rollbar and AWS CloudWatch to proactively identify and address potential issues before they affect patients or providers.
Identify, document, and track software defects, analyzing logs and debugging to pinpoint root causes, and work with the development team within Agile/Scrum sprints to prioritize and ensure timely resolution.
Actively participate in code reviews to uphold coding standards and engineering best practices. Continuously evaluate and improve our development processes, CI/CD pipelines, and tooling (Docker, monitoring/logging systems, cloud infrastructure) to enhance team efficiency, code quality, and release velocity.
Identify opportunities to formalize and document internal processes, workflows, and troubleshooting playbooks, building a knowledge base that supports faster onboarding and more consistent support.

Your Qualifications

8-10+ years of professional experience with PHP and Laravel framework.
Experience working with AWS services like Lambdas, SES, Workers, etc.
Solid knowledge of RESTful APIs, with ability to write automated API tests.
Degree in Computer Science, Engineering, or equivalent combination of education and experience.
Deep experience with SQL databases (preferably PostgreSQL), including schema design, queries, and performance optimization.
Ability to use AI tools to boost productivity but does not rely on it to be able to perform.
Experience working with version control systems (Git) and collaborative workflows (GitHub), including CI/CD pipelines and ability to integrate automated tests into the deployment process.
Experience with Docker
Knowledge of monitoring tools (e.g., Rollbar, CloudWatch, etc.)
Located in the US and able to work full-time for a US employer without requiring visa sponsorship. E-Verify is used during new hire onboarding to confirm work authorization status.

Your Work DNA

User-Centric: A genuine passion for helping customers succeed and a commitment to providing exceptional customer service.
Proactive and Solution-Oriented: A proactive approach to identifying and resolving potential issues before they escalate.
Team Player: Ability to work effectively as part of a team and collaborate with team members across different departments.
Passion for Learning: A strong desire to learn and stay up-to-date on the latest trends and developments in telehealth and healthcare technology.

What We Offer

Competitive Salary: The targeted range for this role is $140,000 to $175,000 per year commensurate with qualifications and experience.
Comprehensive Benefits Package: Our benefits package includes 75% subsidized health insurance, dental insurance, vision insurance, paid time off, and a 401(k) plan with company match.
Professional Development Opportunities: We are committed to investing in our employees' professional development and offer a variety of on the job training and development opportunities.
Flexible Work Arrangements: We are a fully remote team who collaborate both synchronously and asynchronously to achieve the best outcomes.
Collaborative and Supportive Work Environment: We foster a collaborative and supportive work environment where employees are encouraged to share ideas and contribute to the company's success.

Apply on ats.rippling.com About employer

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Jobs in the United States