# Senior Full Stack/Backend Engineer (PHP + React)

> AlfaDocs.com · Italy (Remote) · Full-time · Posted 2026-04-13

**Workplace:** remote

**Department:** Development

## Description

At **AlfaDocs**, we’re on a mission to transform healthcare. Our software platform makes the daily lives of medical practices and patients easier by streamlining practice management and patient relationships. With our all-in-one, cloud-based solution, healthcare professionals can focus more on care and less on administration.

We take pride in our responsibility to deliver high-performance solutions while fostering a collaborative and respectful environment where everyone’s contributions are valued. We’re driven by a shared passion to make a lasting impact on the healthcare industry, creating a space where both our team and our customers thrive.

As our **Senior Full Stack Backend Engineer** (all genders), you’ll be responsible for secure, scalable feature development—owning the backend, shaping architecture, and mentoring the team.

-   **Full Stack Development**: Lead end-to-end feature development from concept to deployment, with a strong focus on security and scalability.
-   **Architecture & Design**: Drive architectural decisions to ensure compliance with healthcare industry standards and long-term system sustainability.
-   **Cross-Functional Collaboration**: Work closely with product managers, designers, and stakeholders to ensure technical solutions support business objectives.
-   **Team Mentorship**: Support junior developers through mentorship, fostering a culture of learning and innovation.
-   **Automation & CI/CD**: Implement automated testing, continuous integration, and deployment pipelines to maintain high code quality.
-   **Technical Roadmapping**: Contribute to planning by evaluating technical feasibility, estimating timelines, and identifying resource needs.
-   **Industry Awareness**: Stay informed about emerging technologies and industry trends to continuously improve product and process efficiency.
-   **Team Culture**: Promote a positive team atmosphere with humor and optimism, helping maintain morale and collaboration during high-pressure periods.

## Requirements

-   **Experience**: Minimum 8 years of professional experience, with at least 3 years in a senior role.
-   **Symfony**: Extensive experience with Symfony, including deep knowledge of Doctrine ORM and key Symfony components (e.g., Security, Event Dispatchers).
-   **Domain-Driven Design (DDD)**: Advanced understanding and practical experience with DDD principles.
-   **Security**: Awareness of security best practices for frontend and backend development, particularly when handling sensitive healthcare data.
-   **Testing**: Proficient in writing and maintaining unit and integration tests.
-   **Frontend Development**: Solid understanding of React.js, with the ability to improve frontend as needed.
-   **Database Management**: Strong experience with MySQL, including design, optimization, and management.
-   **Containerization**: Experience with Docker for managing development environments.
-   **CI/CD**: Familiarity with GitLab CI/CD pipelines for automating build, test, and deployment processes.
-   **Problem-Solving**: Strong problem-solving skills and critical thinking abilities.
-   **AI:** You are highly proficient in using AI/LLMs to support complex workflows, including advanced prompting, evaluating model outputs, and optimizing AI‑assisted processes across teams.
-   **Communication**: Excellent communication skills, with the ability to collaborate with cross-functional teams and convey technical concepts to non-technical stakeholders.

### **  
  
Administrative Info**

-   **Location:** Our offices are in Italy & Germany, but this role is **remote** - you can be based anywhere in the European Union (we don't offer any relocation support).
-   **Contract**: Every Alfa begins their journey with a fixed-term contract of 1 year with the aim of renewing to an indefinite term.
-   **Equipment**: laptop, headphones, keyboard, mouse, and a dedicated office monitor.
-   **Working hours**: Monday - Friday | 09:00 - 18:00 | 1-hour lunch break
-   **Trial Period**: Dependent on the country of your residence
-   **Start Date**: Dec2025/Jan2026

## Benefits

-   Welfare bonus on a monthly basis
-   Bonus for paid English or German language courses.
-   Training courses, books, workshops, and team-building activities for personal and professional growth.
-   Partnership with Serenis (an online psychotherapy platform) - three sessions offered if needed.
-   Team Building Budget
-   Team Development Budget
-   Regular company reunions (yearly meetups, Christmas dinner)
-   Snacks and fruit always available in the office, along with good beer at the end of the week.

## Apply

[Apply at AlfaDocs.com](https://apply.workable.com/alfadocs/j/18EDE4D127/apply)

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