So, I've been in a quest to get my back panel set-up perfectly for awhile now.
One of the conclusions I've come to is that having things MOLLE'd on the back or zipped on is a PITA if you need to access them.
The solution I came up with was to purchase a Ferro Concepts FCPC V5 with a zip on hydration pack that carriers my Camelbak 1.5 L MIL Spec Crux (I went with this bladder, because I could find the Avon gas mask adapters for them more easily than the Source Hydration ones and my MSR In-Link filter fits perfectly into it). The Ferro zip on hydration is so streamlined I honestly can't tell I have it on even when the bladder is full inside. It's easy to toss on a ruck over it and easy to sit down back against something as comfortable as you can be with any plate carrier doing so.
If I need more stuff than just my 1.5L bladder, if I need more water and sustainment gear then I'm going with a pack with straps. I manage the straps with my MattBock Strap Claws, which work with my FCPC, but would work with any carrier where the Velcro chest panel was MOLLE or laser cut instead of just solid velcro. Now the advantage to the MattBock is that it manages the shoulder straps to keep them out of the shoulder pocket so that you can shoulder your rifle obstruction free.
I don't have one right now (I have a Tactical Tailor pack that will soon be retired), but I want to get a Grey Ghost Gear 1 to 3 day expansion pack and then get some zip on adapter so that it can zip on my Ruck. My goal is to have something that attaches nicely to my Ruck and can be removed from the Ruck quickly and then tossed on behind my carrier and accessed by me when I need it. The reason I also like the Grey Ghost Gear is that it's expandable and compresses down.
Now, my main complaint about the Ferro zip on hydration is that although they give you an interior elastic pocket for the bladder they did NOT include a hanger on the inside for the bladder, which is pretty disappointing. I do prefer both a hanger and an elastic pocket for a bladder especially since the tiny bit of paracord for a hanger is not that difficult to add. The Ferro zip on pouches though only fit the Ferro plate carriers, which is another complaint that I have about them...who makes proprietary stuff these days?