Staff Full Stack Engineer

About Medserv:

Medserv, an Irish company, has quicklyestablisheditself as the market leader in providingMedicalbilling and Practice management services throughout Ireland and the UK. Our clients include individual and group consultants, GP practices as well as private clinics and hospitals. Inspired by our values of Always innovating, Being Trustworthy,Collaboratingpositively and Delivering results,Medservstrives to ensure on-going client satisfaction by combining our innovative technology solutions with highly skilled teams.

Role Overview:

This is a step-up role for a Senior Engineer ready to move into Staff. You'll help shape the architectural direction of the platform, lead system design, and drive the modernisation of our PHP/Laravel codebase and frontend. Hands-on across the stack: code, design docs and architecture reviews in roughly equal measure. We want a clean coder with strong system design skills, equally comfortable in backend and frontend code, and ready to take ownership when the path isn't obvious.

Duties & Responsibilities:

• Help plan the platform's architectural direction across billing, practicemanagementand 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, APIcontractsand 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, codereviewand 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.

Skills & Experience:

• Strong production experience with PHP,Laraveland 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,versioningand error handling.
• Strong systemdesign skills. You can break a problem down and design a workingsolutionend 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,prioritiseand 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,Cursoror similar).Knowswhatthey'regood for and what theyaren't.
• Familiar with common OWASP threats and writes code that defends against them.
  

Desirable, but not essential:

• • Interest in AI engineering: RAG, embeddings, vector search.
  • Healthcare,RCMor regulated industry background.
  • Tailwind,componentlibrariesor design systems.
  • Inertia.js, Livewire or other Laravel-friendly frontend patterns.
  • Frontend testing (Vitest, Jest, Playwright, Cypress).
  • Observability tooling (Sentry, Datadog, Grafana).

Package and Benefits

• Hybrid Working

• Private Medical

• Pension contribution

• Maternity and Paternity leave (T&C's apply)

• Life Assurance

• Workcation options

• Gym Membership

• Dedicated EAP

• Holiday Plus Scheme topurchaseadditionalleave

• Professional development opportunities

• Regular sports and social events

• Healthy food with comfortable on-site recreational facilities
• Access to tax incentive schemes i.e. commuter schemes and bike to work

Additional Info

• All offers of employment are subject to a valid work permit
• Rolecommences immediately