Staff Full Stack Engineer

About Medserv:

Medserv, an Irish company, has quickly established itself as the market leader in providing Medical billing 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, Collaborating positively and Delivering results, Medserv strives 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, practice management and 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, API contracts and 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, code review and 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, Laravel and 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, versioning and error handling. 

Strong system design skills. You can break a problem down and design a working solution end 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, prioritise and 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, Cursor or similar). Knows what they're good for and what they aren'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, RCM or regulated industry background. 

Tailwind, component libraries or 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 to purchase additional leave  

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  

Role commences immediately