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MC
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- Full-time
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CareLink (by Asepha)

Senior Software Engineer, Agentic Systems

Toronto, ON, Canada

Full-time

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Job details

Job type: Full-time
Apply by: Apr 28, 2027
Experience: 5+ years of experience in software engineering with strong backend focus
Posting language: English
Posted: Oct 30, 2026

Original job description

CareLink (by Asepha) is based in New York and Toronto, building agentic solutions that re-imagine how medications are prescribed, verified, and supported across the pharmacy ecosystem. Backed by $4M in funding and trusted by multiple Fortune 50 healthcare organizations, we’re scaling rapidly and seeking a talented, innovative Senior Software Engineer to join our growing team. As one of our early hires, you’ll play a critical role in shaping our engineering efforts, making key architectural decisions and writing code to expand our AI product line. You will play a pivotal role in balancing speed of execution with product quality, and have the opportunity to wear multiple hats, from frontend and backend development to devops and customer interactions. Your work will have a direct impact on improving pharmacy workflows and health outcomes.

Join our mission:

We’re building a world where medication delays are impossible. From the moment a prescription is written, the path to therapy start is clear, fast, and predictable. CareLink is the context graph for the therapy-start journey, connecting the fragmented steps that slow down medication access: intake, coordination, utilization management, and clinical services.

Role and Responsibilities:

Design and build autonomous agents that handle complex, multi-step pharmaceutical workflows end-to-end
Architect communication systems that coordinate across organizational boundaries
Build robust orchestration layers for long-running tasks with graceful failure handling and human-in-the-loop escalation
Develop frameworks that let agents interact with external pharmacy systems, databases, and APIs
Implement evaluation and observability infrastructure to monitor agent behavior in production
Integrate with healthcare data standards and legacy pharmacy systems
Scale systems to handle real-time processing across multiple pharmacy networks

Qualifications:

5+ years of experience in software engineering with strong backend focus
Proficiency in Python or TypeScript and deep knowledge of backend fundamentals: APIs, data stores, concurrency, distributed systems
Experience with web frameworks and service-oriented architectures (FastAPI, Flask, or equivalent) and designing clean, versioned APIs
Familiarity with caching, messaging, and database technologies (Redis, Kafka, SQL/NoSQL, vector databases) and how to use them for performance and reliability
Experience building for cloud infrastructure (Azure, AWS, or GCP)
Experience building and deploying agentic AI systems. You understand tool use, planning, memory, and orchestration patterns
You've built systems where the hardest part wasn't the code, it was figuring out what to build
You've shipped something end-to-end with minimal guidance and owned the outcome
Located in Toronto and can commute to our downtown office 3 days per week

Perks:

Competitive compensation package, including $150-250k annual salary + stock options
Full medical, dental, vision, and extended health
Unlimited days off to maintain a healthy work-life balance + 2 weeks of company-wide office closure during the holidays
2 annual off-site trips with the team
Complimentary breakfast and lunch provided daily in the office
Dinner also provided if staying past 7pm

Note: Only candidates selected for an interview will be contacted.

CareLink (by Asepha) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, political affiliation, or any other characteristics protected by local laws, regulations, or ordinances.

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More about this job

Responsibilities

Design and build autonomous agents and orchestration systems for complex pharmaceutical workflows, including cross-organization communication, long-running tasks, failure handling, and human escalation. Develop integrations with pharmacy systems and healthcare data standards, and build evaluation and observability infrastructure while scaling real-time processing across pharmacy networks.

Requirements

Candidates need at least five years of software engineering experience, strong backend expertise, and proficiency in Python or TypeScript, APIs, data stores, concurrency, and distributed systems. They should have experience with service-oriented architectures, cloud infrastructure, relevant databases and messaging technologies, and deploying agentic AI systems; the role also requires living in Toronto and commuting to the downtown office three days per week.

Skills

Python
TypeScript
Backend Engineering
API Design
Distributed Systems
Concurrency
FastAPI
Flask
Redis
Kafka
SQL and NoSQL Databases
Vector Databases
Cloud Infrastructure
Agentic AI Systems
Orchestration
Observability

Benefits

Stock Options
Medical Insurance
Dental Insurance
Vision Insurance
Extended Health Coverage
Unlimited Paid Time Off
Company-Wide Holiday Closure
Annual Team Off-Site Trips
Complimentary Breakfast and Lunch
Complimentary Dinner for Employees Staying Past 7 P.M.

Visa sponsorship

Not detected in the job text

Keywords

Agentic AI
Autonomous Agents
Pharmaceutical Workflows
Healthcare
Pharmacy Systems
Healthcare Data Standards
Python
TypeScript
Backend Engineering
APIs
Versioned APIs
FastAPI
Flask
Service-Oriented Architecture
Distributed Systems
Concurrency
Redis
Kafka
SQL
NoSQL
Vector Databases
Cloud Infrastructure
Azure
AWS
Google Cloud Platform
Orchestration
Human-in-the-Loop
Observability
Evaluation Infrastructure
Real-Time Processing

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