Senior Developer (Laravel/PHP)

Full Time
Hybrid
Raleigh-Durham-Chapel Hill

Arkstone is hiring a Senior Backend Feature Developer to accelerate delivery of new product capabilities across our core API platform.

Apply Now

The Opportunity

Arkstone is hiring a Senior Backend Feature Developer to accelerate delivery of new product capabilities across our core API platform. You will own feature implementation from design through production, collaborate closely with product and domain stakeholders, and help shape scalable backend architecture.What You’ll Do

  • Design, build, and maintain backend services using Laravel and PHP
  • Deliver new APIs, business logic, and workflow enhancements backed by MySQL
  • Own feature development end-to-end, including technical design, implementation, and rollout
  • Collaborate with frontend engineers to ensure clean API contracts and seamless integration
  • Improve system performance and reliability in queue-driven and event-driven workflows
  • Write and maintain automated tests for delivered features
  • Mentor teammates through code reviews, pairing, and strong engineering practices
  • Use modern AI/agentic coding workflows responsibly to increase delivery velocity and quality

Required Qualifications

  • 7+ years of professional software development experience
  • Strong production experience with PHP and Laravel
  • Strong SQL and data modeling experience, specifically with MySQL
  • Experience designing and operating scalable APIs and asynchronous processing systems
  • Proven ability to drive complex feature work from concept to production
  • Strong communication and collaboration skills across technical and non-technical stakeholders
  • Security-minded engineering practices, especially for sensitive or regulated data
  • Hands-on experience with agentic coding tools (AI-assisted development agents), including prompt design, code generation, refactoring, and quality validation

Preferred Qualifications

  • Experience in healthtech, clinical software, or other regulated environments
  • Familiarity with Redis/background workers and event-oriented architectures
  • Experience with AWS and production observability/monitoring tooling
  • Experience maintaining coding standards and engineering documentation in growing teams

How We Work

  • Remote-first engineering culture with high ownership and async collaboration
  • North Carolina office available for in-person collaboration as needed
  • Potential for a future developer office in New York
  • Pragmatic, quality-focused delivery with emphasis on reliability and outcomes

What You'll Do:

  • Develop software that directly influences clinical outcomes and healthcare workflows.
  • Tackle significant backend engineering problems within complex, data-intensive systems.
  • Contribute meaningfully to architectural decisions, code quality standards, and team best practices.

What We Offer:

  • A collaborative team environment dedicated to quality, fast iteration, and continuous professional growth.
  • Comprehensive Health Benefits.
  • Flexible working schedules.
  • 401k plan.

About Arkstone

Arkstone is a company focused on using smart technology to turn complicated medical data into simple, clear advice for doctors. Our main goal is to save lives by giving healthcare teams the best, most up-to-date tools for understanding medical lab information, and help fight antibiotic resistance. The Arkstone platform delivers fast, accurate, and secure insights right within the existing medical workflows, helping ensure patients around the globe get the right treatment options and the best possible care.

Apply Now

Take the Next Step, Try OneChoice®

No more guesswork. No more lookup tools. No more inaccuracies and inconsistencies. No more stopping to ask for directions.

Try It Out
Get Started
Hand holding smartphone displaying the OneChoice app.