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(This is a remote position open to candidates based in the United States and Canada)

About Breakthrough

Join a health-tech company that's making big things happen! At Breakthrough, we help private practice owners—like physical therapists and chiropractors—grow their businesses and reach more patients with natural, non-invasive care. Our platform drives over $5M in patient revenue each month, and we're just getting started. We're a passionate, fast-moving team building smart tools that make a real difference in people's lives. If you're excited to work on meaningful problems with a supportive and ambitious crew—we'd love to meet you.

What You'll Do

+ Design, build, and maintain backend services, APIs, and databases

+ Architect scalable and maintainable backend solutions for complex business logic and high-traffic applications

+ Collaborate closely with frontend developers, QA, and product managers to deliver seamless, end-to-end solutions

+ Perform code reviews and champion best practices in software development

+ Optimize system performance and troubleshoot production issues

+ Ensure code quality with automated tests, CI/CD pipelines, and SOLID development principles

+ Participate in architecture and design discussions to shape the future of our platform

What You Bring Technical Skills

+ 8+ years of experience in backend development

+ Strong proficiency in C# / .NET Core and PHP (Laravel)

+ Solid understanding of RESTful API design and integration

+ Experience with SQL and NoSQL databases (e.g., MySQL, PostgreSQL, Redis)

+ Familiarity with microservices architecture and message queues

+ Experience with Docker and containerized environments

+ Working knowledge of Git, CI/CD pipelines, and automated deployment tools

+ Understanding of software design patterns and secure coding practices

Soft Skills

+ Excellent problem-solving and critical-thinking abilities

+ Strong communicator and team collaborator

+ Capable of leading technical discussions and making informed architectural decisions

+ Detail-oriented, self-driven, and comfortable working independently

+ Thrives in a fast-paced, agile environment

Bonus Points

+ Exposure to frontend frameworks like ReactJS for improved cross-functional collaboration

Why Join Breakthrough?

+ Fully remote – Work from anywhere in the U.S. or Canada (excluding Quebec)

+ Mission-driven – Be part of transforming private practice growth

+ Unlimited PTO – Take the time you need

+ Comprehensive benefits – Medical, Dental, Vision, and 401(k)/RRSP withmatch

+ ⚖ Work-life balance – We care about your well-being both at work and at home

Our Core Values

• Elevate Others

• Be Real

• Beginners' Mind

• Own The Results

• Seek to Understand the Customer First ‍⚕

• Do Sh*t That Makes a Massive Difference

Ready to Make an Impact?

We'd love to hear from you! Apply today and let's talk.

Salary Range: $130K-$138K USD

Note:

Contract Position is also an option

We are unable to hire candidates residing in Quebec at this time.