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Added 17 mins ago
O
ASIC Engineer
O-HIVE.AI
Windsor, ON
- Full-time
…computing infrastructure while improving latency, power efficiency, reliability, and deployment…
Added 55 mins ago
HT
Designer, Development (Service)
Husky Technologies
Bolton, ON
- Full-time
The Service team is a unique team in Development engineering responsible for enhancing the reliability and performance of Husky’s products by resolving systemic service issues. The team is…
Added 57 mins ago
GC
Engineer or Engineer in Training, MechanicalNew
Glencore Canada
Elkford, BC
- $91,300 to $126,800 CAD / year
- Full-time
Reporting to Senior Engineer, Maintenance, the Engineer / EIT, Mechanical is responsible
Added 57 mins ago
GC
Engineer, MechanicalNew
Glencore Canada
Sparwood, BC
- $108,000 to $145,000 CAD / year
- Full-time
Reporting to the Senior Engineer Supervisor, the Engineer, Mechanical, Water Operations, is focused on design, troubleshooting and optimization of water treatment facilities in the Elk…
Added 58 mins ago
MC
Cloud Platform Engineer – Terraform & Database Infrastructure (36050)
Myticas Consulting
Toronto, ON
- Contract
Cloud Platform Engineer – Terraform & Database Infrastructure
Added 58 mins ago
MC
Cloud Platform Engineer – Kubernetes (36051)
Myticas Consulting
Toronto, ON
- Contract
Myticas Consulting is seeking an experienced Cloud Platform Engineer – Kubernetes to support enterprise cloud infrastructure, container platforms, and application engineering teams.
Added 58 mins ago
A
System Validation Engineer – Data Center GPU
AMD
Markham, ON
- $96,800 to $145,200 USD / year
- Full-time
We are looking for a hands-on Systems Validation Engineer to join AMD's Data Center GPU Validation team. In this role, you will help ensure the quality, reliability, security, and…
Added 58 mins ago
PO
Assistant Store Manager
Parts of Canada
Okotoks, AB
- Full-time
…by lifelong appliance technician and aftermarket solutions engineer Eli Roitman, the company designs, manufactures, and distributes premium parts sourced from U.S. and Canadian…
Added 1 hour ago
SL
Lead AI Engineer
Sun Life
Toronto, ON · Waterloo, ON · Sun Life Toronto Atria
- Full-time
Corporate IT is seeking an experienced Lead AI Engineer to design, develop, deploy, and support enterprise-grade Artificial Intelligence, Machine Learning, and Generative AI solutions on…
Added 1 hour ago
SL
Senior AI Engineer
Sun Life
Toronto, ON · Waterloo, ON · Sun Life Toronto Atria
- Full-time
Corporate IT is seeking an experienced Senior AI Engineer to design, develop, deploy, and support enterprise-grade Artificial Intelligence, Machine Learning, and Generative AI solutions on…
Added 1 hour ago
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Maintenance Supervisor
Nexans
Weyburn, SK
- Full-time
Maximize equipment reliability and plant performance through effective preventive and corrective maintenance, rapid emergency response, and ongoing improvements to maintenance methods and…
Added 1 hour ago
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Electrical Engineer
Raise
Fort McMurray, AB
- Full-time
The Electrical Engineer will join our client’s team at the Mildred Lake Plant in Fort McMurray. In this role, you will be a key technical resource focused on maximizing the safety,…
Added 1 hour ago
I
Staff Software Developer (Pre-ID Relo)
Intuit
Toronto, ON
- Full-time
We are hiring a Staff Software Engineer to set technical direction across multiple engineering teams in the HCM charter. This is a charter-wide role. You will not be measured by the…
Added 1 hour ago
CE
Architecte Matériel Senior
CMC Electronics
Montreal, QC
- Full-time
This position reports to the Hardware Engineering Manager and collaborates closely with the Chief Engineer and System Engineers to design and enhance CMC’s core products. As the hands-on…
Added 1 hour ago
WM
Field Engineer
Weir Minerals
Fort McMurray, AB
- Full-time
⦿ Asset Performance & Reliability: Monitor equipment performance through inspections, wear analysis, operating data review, and field assessments. Focus on improving reliability, wear life,…
Added 1 hour ago
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Software Engineer
Evidence
Toronto, ON
- $100,000 to $150,000 USD / year
- Full-time
Ship new features, fix bugs, and improve the performance, reliability, and security of our systems.
Added 1 hour ago
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Intermediate AI Engineer
nLogic
Cherry Point, AB
- Full-time
nLogic is seeking an Intermediate AI Engineer to support anticipated work on a mission-focused effort in the Cherry Point area. This role will play a key part in supporting artificial…
Added 1 hour ago
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Electrical Commissioning Engineer
Jule
Toronto, ON
- Full-time
Electrical Engineer - Testing & Commissioning
Added 1 hour ago
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Site Reliability Engineer (Application Support)
Yochana
Calgary, AB
- Full-time
The Wealth Management Production Management Site Reliability Engineer position is a highly visible/critical role, which will be a team member of technical SMEs managing the stability and…
Added 1 hour ago
A
Software Development Engineer In Test
Actalent
Ottawa, ON
- $45 to $65 CAD / hour
- Contract
Job Title: Software Development Engineer in Test (Python)
Added 1 hour ago
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HPC (High-Performance Computing) Consultant
VySystems
Canada
- Full-time
…Depending on experience, candidates may be considered for Platform Engineer, Kubernetes Engineer, HPC Engineer, Cloud Infrastructure Engineer, DevOps Engineer, AI Infrastructure Engineer,…
Added 1 hour ago
ED
Senior Network Delivery Engineer - EN 235
Export Development Canada | Exportation et développement Canada
Ottawa, ON
- $96,557 to $128,743 CAD / year
- Full-time
…enterprise architecture, cybersecurity, operational, lifecycle, and reliability…
Added 1 hour ago
AS
Full Stack Developer
Apex Systems
Toronto, ON
- $55 to $67 USD / hour
- Contract
The ideal candidate is a strong hands-on engineer with deep full stack expertise, capable of translating business requirements into robust technical solutions. This individual will work…
Added 1 hour ago
L
Senior System Test Engineer
LanceDB
Canada
- Full-time
As the Senior System Test Engineer at LanceDB, you will drive the correctness, reliability, and performance of Lance and LanceDB under demanding production conditions. You'll work at the…
Added 1 hour ago
I
Senior Software Developer (Pre-ID Relo)
Intuit
Toronto, ON
- Full-time
We are hiring a Senior Software Engineer to join our HCM engineering team in Toronto. You will own the design and delivery of full stack features across our HCM surfaces, working from…

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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