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Added 45 mins ago
W
Full Stack Engineer
Wiraa
Canada
- Full-time
…landscape. The company’s focus on high-quality software development, cloud-native architectures, and agile practices positions it as a trusted partner for enterprise clients seeking…
Added 1 hour ago
NB
Senior DevOps Integrator
National Bank of Canada
Montreal, QC
- Full-time
This role allows you to have a concrete impact on delivery reliability, environment security and developer experience, thanks to your expertise in automation, your proficiency in AWS cloud…
Added 2 hours ago
A
Software Development Manager, Platform Engineering
Autodesk
Toronto, ON · Greater Toronto Area, Canada
- Full-time
Strong understanding of cloud-native application architecture and distributed infrastructure
Added 2 hours ago
ES
AI Architect
EPAM Systems
Canada
- Full-time
You will design the target architecture of AI-native applications, Enterprise AI and Applied AI solutions for large clients across industries, from assistants and RAG systems to agents,…
Added 6 hours ago
OI
Senior Full-Stack Developer
Odaia Intelligence Inc.
Remote, Canada
- Full-time
- Remote
We're looking for a Senior Full-Stack Developer to join our engineering team! You'll work across the full stack to design, build, and ship features that directly impact how pharma…
Added 7 hours ago
A
Software Development Manager, Platform Engineering
Autodesk
Montreal, QC
- Full-time
Strong understanding of cloud-native application architecture and distributed infrastructure
Added 8 hours ago
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Cloud Native Software Developer
Ericsson
Ottawa, ON
- Full-time
At Ericsson, we are building the next generation of Cloud Native, carrier-grade 5G core network solutions. As a Software Developer – Core User Plane as a Service, you will join a seasoned…
Added 9 hours ago
SM
RQ11475 - Software Developer - CRM - Senior
S M Software Solutions Inc
Toronto, ON
- Internship
Develop cloud-native solutions utilizing Azure Functions, Logic Apps, API Management, App Services, Storage Services, and Key Vault.
Added 9 hours ago
SM
RQ11475 - Software Developer - CRM - Senior
S M Software Solutions Inc
Toronto, ON
- Internship
Develop cloud-native solutions utilizing Azure Functions, Logic Apps, API Management, App Services, Storage Services, and Key Vault.
Added 9 hours ago
SM
RQ11475 - Software Developer - CRM - Senior
S M Software Solutions Inc
Toronto, ON
- Internship
Develop cloud-native solutions utilizing Azure Functions, Logic Apps, API Management, App Services, Storage Services, and Key Vault.
Added 10 hours ago
Lead Developer (Full Stack - .NET, C#)
ReserveX
Calgary, AB
We are looking for a Full-Stack Developer to provide technical leadership and architectural guidance as we scale our multi-day travel booking platform. This role requires expertise in .NET…
Added 12 hours ago
ES
Senior Solution Architect
EPAM Systems
Toronto, ON
- Full-time
…asset ecosystem by replacing legacy on-premises platforms with cloud-native SaaS solutions centred around…
Added 14 hours ago
TI
DevOps Engineer
Themesoft Inc.
Toronto, ON
- Contract
…strong experience in CI/CD pipeline development, automation, cloud-native technologies, containerization, infrastructure as code, and application…
Added 15 hours ago
S
DevOps Engineer
Synechron
Halifax, NS
- $110,000 to $115,000 CAD / year
- Full-time
Strong hands-on experience with cloud services such as AWS or Azure and cloud-native architecture principles
Added 18 hours ago
TI
Cyber Security Specialist
Themesoft Inc.
Toronto, ON · North York, ON
- Contract
Experience with LLMs, AI agents, tool calling, orchestration frameworks, APIs, cloud, containers, and security automation.
Added 21 hours ago
SM
RQ11475 - Software Developer - CRM - Senior
S M Software Solutions Inc
Toronto, ON
- Internship
Develop cloud-native solutions utilizing Azure Functions, Logic Apps, API Management, App Services, Storage Services, and Key Vault.
Added 1 day ago
AI
Java Fullstack Developer – AWS & Capital Markets
Astra-North Infoteck Inc. ~ Conquering today’s challenges, achieving tomorrow’s vision!
Toronto, ON
- Full-time
Leverage AWS cloud services to build scalable, cloud-native applications aligned with long-term architecture goals.
Added 1 day ago
T
Channels Architect
TD
Toronto, ON
- Full-time
…Host to Host and event-driven connectivity across a modern cloud-native…
Added 1 day ago
SM
RQ11475 - Software Developer - CRM - Senior
S M Software Solutions Inc
Toronto, ON
- Internship
Develop cloud-native solutions utilizing Azure Functions, Logic Apps, API Management, App Services, Storage Services, and Key Vault.
Added 1 day ago
FS
Lead software engineer
Forgeahead Solutions Corporation
Surrey, BC
- From $130,000 CAD / year
- Full-time
- Hybrid
Added 1 day ago
ES
Data Technology Consultant - Data & AI Modernization
EPAM Systems
Canada
- Full-time
Design Modern Cloud Architectures: Architect scalable, cloud-native Data & AI solutions (utilizing Databricks, Snowflake, and medallion architecture patterns) optimized for business outcomes
Added 1 day ago
MC
Network Management System Developer (35520)
Myticas Consulting
Ottawa, ON
- Full-time
Cloud-native architectures and containerized environments
Added 1 day ago
MC
Solutions Architect – AWS Node.js Digital Banking (35654)
Myticas Consulting
Toronto, ON
- Contract
…and platform teams to design and deliver scalable, resilient cloud-native…
Added 1 day ago
MC
Google Cloud Data & Software Solutions Manager (35087)
Myticas Consulting
Toronto, ON
- Full-time
Maintain strong expertise across the Google Cloud ecosystem including cloud-native technologies, modernization strategies, and partner programs
Added 1 day ago
T
Full Stack Engineer
TEEMA
Vancouver, BC
- $100,000 to $110,000 CAD / year
- Full-time
We’re looking for an experienced Full Stack Developer to join a growing technology team in Vancouver. This is a hands-on development role working across modern front-end applications,…

Prenuvo

Senior Backend Engineer II - Patient Experience

Vancouver, BC, Canada

The base salary for this role ranges from $145,000-$160,000 in local currency, depending upon experience and geographic location

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Job details

Pay: The base salary for this role ranges from $145,000-$160,000 in local currency, depending upon experience and geographic location
Experience: 7+ years of backend engineering experience owning production services, ideally in Python (or a similar language such as Ruby, Go, Node.js)
Posting language: English
Posted: Oct 9, 2026

Original job description

About Us

At Prenuvo, we are on a mission to flip the paradigm from reactive “sick-care” to proactive health care. Our award-winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non-invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient-centric experience across our domestic and global clinics, have allowed us to lead the change against “we caught it too late again".

We're looking for a Senior Backend Engineer II to join our Patient Experience team and own the communications platform that keeps patients informed throughout their journey: booking confirmations, appointment reminders, intake nudges, results notifications, and follow-ups across email, SMS, and push. You'll also build on the patient-facing APIs behind our patient dashboard (web) and native mobile apps (iOS and Android).

Our in-house Python communications service converts event bus domain events into patient messaging via Iterable, AWS SES, SMS, and push. Key challenges involve ensuring reliable, exactly-once delivery, respecting consent and preferences, and gracefully handling vendor failures with detailed logging. We seek engineers who thrive on end-to-end system ownership, resilient event-driven architecture, and driving outcomes over tickets.

Our preference is for candidates based in Vancouver, who can accommodate a flexible hybrid arrangement during the initial onboarding period.

This role does not provide visa sponsorship. Applicants must be legally authorized to work in Canada at the time of hire and must not require employer sponsorship for a work visa (current or future).

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives!

What You’ll Do

Own the communications platform: Own the patient communications platform end to end, from design through rollout, including service architecture, on-call standards, and technical roadmap.
Develop complex software solutions: Build and maintain scalable backend services using Python, FastAPI, and AWS event-driven services (EventBridge, SQS/SNS, Lambda, ECS) that power patient communications.
Deliver reliably: Guarantee reliable, exactly-once message delivery through retries and failures, using idempotency, deduplication, backoff, and dead-letter handling and replay, with a clear status for every message we attempt.
Build in consent: Build consent and preference handling into the send path, including channel and category opt-ins, STOP and unsubscribe propagation across systems, quiet hours, and clean separation of transactional and marketing messages.
Make sends safe: Build safe tooling for one-off and bulk patient sends (audience preview, test sends, rate limits, kill switches) with least-privilege access to patient data and vendor credentials, so that a production send is always a deliberate, reviewed action.
Evolve patient-facing APIs: Design and ship OpenAPI-first endpoints that follow our versioning and backward-compatibility standards for mobile clients we can't force-update, and help migrate consumers off legacy GraphQL.
Ensure system reliability: Lead improvements in reliability, observability, and incident response using Datadog. You are accountable for whether a message actually reached the patient, not just whether the code merged.
Raise engineering quality: Write comprehensive automated tests for the services you build, and improve the patterns, tooling, and processes that raise quality across teams.
Provide technical guidance: Lead design discussions, review technical implementations, and mentor engineers across levels.
Influence technical direction: Contribute to architectural decisions and the long-term evolution of the platform, partnering closely with Product, Design, Lifecycle Marketing, Clinical, and other engineering teams.
Use AI-assisted development: Use AI coding tools and agentic workflows thoughtfully as part of a structured build, review, and test workflow.

What You’ll Bring

7+ years of backend engineering experience owning production services, ideally in Python (or a similar language such as Ruby, Go, Node.js)
Strong experience designing and building REST APIs, including contract design, versioning, and error handling, in a modern backend framework (e.g., FastAPI, Flask, Django, Express, Spring).
Hands-on experience with cloud platforms such as AWS, including event-driven systems (EventBridge, SQS/SNS, Lambda, ECS), and modern CI/CD practices.
Experience building and maintaining distributed systems and integrating with external APIs and webhooks, including idempotency, retries, rate limits, and partial failure.
Deep knowledge of relational databases, particularly PostgreSQL, plus experience with NoSQL (e.g., DynamoDB) and caching (e.g., Redis).
Experience implementing authentication and authorization (OAuth2, JWT, service-to-service security).
Experience writing comprehensive backend tests (e.g., Pytest) and ensuring strong test coverage.
Experience with monitoring and observability tools such as Datadog or similar platforms.
Ability to independently lead complex initiatives, make sound technical decisions, and balance short-term delivery with long-term maintainability, including on-call and incident response for what you own.
Ability to break down complex projects into components or milestones that other engineers can easily pick up.
Comfortable with ambiguity, able to balance speed with quality, and willing to take ownership from design through production.
Excellent communication skills and the ability to collaborate across engineering and business teams.

Nice to Have

Experience with Iterable or a similar customer engagement platform (Braze, Customer.io, Klaviyo, Salesforce Marketing Cloud): event and user-profile APIs, journeys and workflows, message types and channels, and webhook processing.
SMS experience at scale: Twilio or similar providers, 10DLC and short codes, opt-in capture and STOP handling, and TCPA and carrier compliance.
Push notification experience: APNs and FCM (directly or through a platform), device token lifecycle, and deep linking into mobile apps.
Email delivery experience: AWS SES or similar, SPF/DKIM/DMARC, bounce and complaint handling, and suppression lists.
Notification orchestration: multi-channel routing, preference centers, frequency capping, and scheduled or reminder-based messaging.
GraphQL experience, Backend-for-Frontend patterns, or close partnership with native iOS/Android teams.
Familiarity with FHIR or other healthcare data models.
Familiarity with Terraform, Docker, and GitHub Actions.
Experience working in highly regulated industries, including handling sensitive health data.

Our Values

First: we are Pioneers

Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding.

Second: we are Platform-Builders

We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission.

Above all: we are Patients

We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work.

What We Offer

An avenue to make a positive impact on people's lives and their health
We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member
Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way
Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize
Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it
We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family
Prenuvo offers eligible Canadian employees access to both RRSP and TFSA retirement savings plans, with immediate, optional enrollment and the flexibility to invest and save for the future on your own terms. While Prenuvo provides access to these plans, the company does not currently offer matching contributions.
The base salary for this role ranges from $145,000-$160,000 in local currency, depending upon experience and geographic location

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

As part of the hiring process, successful candidates will undergo a background check in compliance to applicable federal, provincial, and state rules.

Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to jobs@prenuvo.com.

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More about this job

Responsibilities

You will own the end-to-end patient communications platform, including service architecture, technical roadmap, and reliable message delivery. Additionally, you will build and maintain scalable backend services and patient-facing APIs while mentoring engineers and driving technical quality.

Requirements

Candidates must have 7+ years of backend engineering experience with production services, ideally using Python and modern backend frameworks. Strong expertise in AWS, distributed systems, and designing REST APIs is required, along with the ability to work independently in a hybrid environment.

Skills

Python
FastAPI
AWS
Event-driven architecture
PostgreSQL
REST APIs
Distributed systems
Datadog
CI/CD
System design
Observability
Incident response
GraphQL
NoSQL
Redis
OAuth2

Benefits

Free whole-body scans
Flexible vacation policy
Health insurance
Dental insurance
Vision insurance
Mental health coverage
RRSP retirement savings plan
TFSA retirement savings plan

Visa sponsorship

Not detected in the job text

Keywords

Python
FastAPI
AWS
EventBridge
SQS
SNS
Lambda
ECS
PostgreSQL
DynamoDB
Redis
Datadog
REST APIs
GraphQL
OAuth2
JWT
Pytest
CI/CD
Terraform
Docker
GitHub Actions
Healthcare
Patient experience
Distributed systems
Backend engineering
API design
Observability
System reliability
Message orchestration
Cloud computing

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