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Added 2 mins ago
SH
Regional Clinical Engineer - Masters
Shared Health-Soins Communs
Winnipeg, MB
- Full-time
…Safety Alerts review, distribution, tracking and follow-up, and audit); medical equipment and general medical device technology education; comprehensive technical consultation regarding…
Added 2 mins ago
Regional Clinical Engineer - Masters
Winnipeg Regional Health Authority
Winnipeg, MB
…Safety Alerts review, distribution, tracking and follow-up, and audit); medical equipment and general medical device technology education; comprehensive technical consultation regarding…
Added 17 mins ago
RB
Manager, Operations II
Royal Bank of Canada
Toronto, ON
- Full-time
RBC Dominion Securities provides comprehensive services in commodity and financial futures including professional advice and trade execution. Access is provided to most commodity futures…
Added 32 mins ago
HN
SMS & IOSA Lead
Hospitality Newfoundland and Labrador
St. John's, NL
- Full-time
This opportunity is ideal for a detail-oriented aviation professional with experience in Safety Management Systems (SMS), operational auditing, compliance, and risk management. The…
Added 32 mins ago
ME
Senior Accountant
MNP Executive Search & Professional Recruitment
Burnaby, BC
- Full-time
…intercompany general ledger reconciliations, month-end processes, audit support, and compliance. The role provides reporting and oversight support to the Controller across Canadian and U.S.…
Added 32 mins ago
R|
Clinical Trial Financial Control Analyst, Oncology Portfolio
RI-MUHC | Research Institute of the MUHC | #rimuhc
Montreal, QC
- Full-time
Maintain complete, accurate and audit-ready documentation, ensure segregation of duties through independent review and approval.
Added 32 mins ago
R|
Accounts Receivable Analyst
RI-MUHC | Research Institute of the MUHC | #rimuhc
Montreal, QC
- Full-time
Maintain organized electronic records to ensure audit readiness and traceability,
Added 1 hour ago
K
Customer Service/Order Manager
Kelly
Markham, ON
- $26 USD / hour
- Full-time
Maintain accurate and audit?ready records in ERP and CRM systems.
Added 1 hour ago
BT
Accounting Technician, Private Enterprise
Baker Tilly Canada
Dartmouth, NS
- Full-time
…scale of a network with the trust of strong relationships. From audit and tax to consulting and specialist advisory services, we help clients navigate complexity and seize opportunity with…
Added 1 hour ago
BT
Senior Manager, Small Business Services
Baker Tilly Canada
Winnipeg, MB
- Full-time
…be the main point of contact for owner-managed businesses, professional practices, and community organizations in the…
Added 1 hour ago
RD
Manager, Operations II
RBC Dominion Securities
Toronto, ON
- Full-time
RBC Dominion Securities provides comprehensive services in commodity and financial futures including professional advice and trade execution. Access is provided to most commodity futures…
Added 2 hours ago
SP
Industrial Hygiene Specialist [SK-15217]
Shirley Parsons
Toronto, ON
- Full-time
This is a high-visibility, hands-on role for an industrial hygiene professional who can translate complex exposure data and technical requirements into practical, sustainable solutions for…
Added 2 hours ago
B
Director, Office North America Workplace Services
BMO
Toronto, ON · YNG
- Full-time
Added 3 hours ago
Quality Assurance Manager - Scarborough
BelPak
Toronto, ON
Support the QA Audit Lead Sr. Manager in coordinating regulatory, SQF certification, customer, third-party, and internal audits, taking responsibility for ensuring facility readiness,…
Added 3 hours ago
W
Senior Procurement Contract Specialist
Worley
Markham, ON · Oakville, ON
- Full-time
…a portfolio of engineering, procurement, construction, and professional services…
Added 3 hours ago
V
Spec, Procurement
Vale
Canada
- Full-time
…partner closely with Procurement, Supply Chain, Finance, Internal Audit, Operations, and Technology teams to proactively identify and mitigate risks, strengthen controls and compliance, and…
Added 4 hours ago
AC
Senior Accountant, Assurance and Accounting - Private Enterprise & Public Sector Audit
ACCA Careers
Vancouver, BC
- Full-time
Conduct compilation, review, audit, bookkeeping and tax engagements
Added 4 hours ago
ME
Senior Accountant - Private Company Audit and Assurance
Manning Elliott LLP
Surrey, BC
- $80,000 to $104,000 CAD / year
- Full-time
As a Senior Accountant in our Audit & Assurance team, you will play a key role in managing and executing engagements for private, owner-managed businesses. This position involves planning…
Added 4 hours ago
RB
Process Governance Specialist
Red Bull
Chilliwack, BC
- Full-time
Certified maintenance and reliability professional (CMRP) considered a strong asset.
Added 4 hours ago
PC
Digital Assurance & Transparency Senior Associate
Pwc Canada
Vancouver, BC
- Full-time
A career in our External Audit Process Assurance practice, within Assurance services, will enable you to assist clients in optimizing control activities, organizational strategy, and…
Added 5 hours ago
RP
On-Going Opportunities - Intermediate Accountant
RECRUITMENT PARTNERS INC.
Calgary, AB
- Contract
…organizations in energy, construction, manufacturing, transportation, professional services, distribution, and other sectors that are seeking skilled professionals who can step into…
Added 5 hours ago
RP
Manager, Financial Reporting
RECRUITMENT PARTNERS INC.
Calgary, AB
- Full-time
…accordance with applicable accounting standards, and supporting audit, compliance, and planning…
Added 5 hours ago
G-
Operations Manager
GFL - Sewer Technologies Division
Winnipeg, MB
- Full-time
Career Growth: Long-term investment in your professional development within a growing North American industry leader.
Added 5 hours ago
RP
Manager of Accounting
RECRUITMENT PARTNERS INC.
Calgary, AB
- Full-time
…come with practical business experience, a strong network of professional contacts, and are focused on what is best for both clients and candidates. We will facilitate the best fit between…
Added 5 hours ago
A&
Director, Global Transaction Tax
Alvarez & Marsal
Toronto, ON
- Full-time
…is unique in that we offer the opportunity to work without audit conflict and truly act as a trusted business advisor. We provide our teams with opportunities and support to develop and…

Prometheus Health Systems

Founding Engineer

Remote, Canada

Remote

$150,000 to $190,000 CAD / year · Full-time

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Job details

Pay: $150,000 to $190,000 CAD / year
Job type: Full-time
Workplace: Remote
Posting language: English
Posted: Nov 2, 2026

Original job description

About us Prometheus Health Systems builds Prometheus Codex. It drafts insurance and government medical forms (disability statements, the Disability Tax Credit, provincial benefits) from documents already in a patient's chart. Every drafted field cites its source. Professional judgments are left to the physician, who reviews and signs every form. We're physician-founded, based in Kelowna, and in pilot with BC clinics. The product is live: chart upload, OCR and LLM extraction, a review screen, sign-off and publishing all run in production on AWS in Canada. As our first engineer, you'll work directly with the founder, a practising physician who built the platform, and with our clinical collaborators. You'll take ownership of a working system and decide how it grows. You'll also help hire and mentor the engineers and students who join next. What you'll own Building. Ship features end to end, from the clinic's workflow to production. Explain the technical tradeoffs to the founder and to clinicians. The core platform. TypeScript/Node.js services, PostgreSQL models and migrations (including row-level tenant isolation), and AWS infrastructure as code. Deploys are repeatable, observable and recoverable. The extraction pipeline. Document ingestion, OCR and LLM extraction into validated, typed facts. It handles duplicates, retries, malformed files, negation, dates, units and conflicting sources. Traceability and abstention. Every value stays traceable to its source passage. Nothing unsupported is drafted. High-risk or opinion fields are routed to the physician, never filled silently. Form onboarding as data. Each new form is configuration and tests, not new engine code. You'll grow the form library province by province. Evaluation. Keep the evaluation sets and filled-form samples that decide whether a release is ready. Track field-level errors, clinician edits, latency and cost. Security and compliance. Keep access controls, audit trails, secrets handling, retention and SOC 2 evidence part of everyday engineering, not a separate project. Leaving it clearer than you found it. Write down technical decisions, help recruit the next engineers, and make the system understandable to the next person who joins. What success looks like By day 30: own the platform Set up the full local toolchain and test gauntlet, and ship your first changes through our review, CI and security-scan gates. Run a production deploy alongside the founder. Then own the deploy runbook. Learn the field rules (what may be drafted, what stays with the physician, what's never offered) and how grounding is verified. Take ownership of one live workstream end to end, such as the form-fill pipeline or the patient-questionnaire channel. By day 60: own a release Lead a release from plan to deploy. That includes the filled-form samples the founder reviews before any change to how forms fill. Onboard one new form end to end as data: mapping, rules, tests and a filled sample. Prove that no engine code was needed. Measure extraction quality on our evaluation set and fix the largest error class you find. Take over the incident and recovery runbooks, and complete one backup-restore exercise. By day 90: set direction Make one release decision on evidence: evaluation results, clinician edit rates, latency and cost against agreed thresholds. Harden one weak area of your choosing, such as observability, tenant-isolation tests or pipeline resilience. Present the next quarter's technical plan, and an onboarding guide for the next engineer. Help select and onboard our next hire. What you bring Evidence of shipping and operating production applications end to end, including ownership of hard tradeoffs and production failures. Strong TypeScript/Node.js and PostgreSQL skills, and experience operating AWS or comparable cloud workloads. Practical experience with LLMs or document processing, including evaluation and failure handling. Sound engineering judgment matters more than any one model vendor. Clear writing, good security judgment, and the willingness to learn clinical workflows from the people who do them. Comfort with early-stage ambiguity, and hands-on work across product, backend, infrastructure and clinic feedback. Useful experience: Canadian EMR integrations, FHIR/HL7, PDF forms and OCR, health information workflows, SOC 2, or an early engineering role at a startup. A particular degree isn't required if you can show the skills. Why join Broad technical ownership of a live clinical product. Direct influence on product direction. Meaningful early equity. Software that saves clinicians hours, with clinical safety as an explicit design constraint. How to apply Email [email protected] with: a short introduction; an example of a system you built, including a difficult tradeoff or production failure you learned from; a link to code, if you have it. Selection includes a paid practical exercise on synthetic documents. Please tell us if you need accommodations during the hiring process.

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More about this job

Responsibilities

Own and develop the live clinical platform end to end, including its TypeScript/Node.js services, PostgreSQL data models, AWS infrastructure, document extraction pipeline, and configurable form library. Lead releases and production operations, ensure traceability and clinical safety, strengthen security and evaluation practices, and help recruit and onboard future engineers.

Requirements

Candidates should have a track record of shipping and operating production applications, strong TypeScript/Node.js and PostgreSQL skills, and experience with AWS or comparable cloud workloads. Practical LLM or document-processing experience, sound security and engineering judgment, clear writing, and comfort working across product, infrastructure, and clinical workflows are expected; no particular degree is required.

Skills

TypeScript
Node.js
PostgreSQL
AWS
Infrastructure As Code
LLM Integration
Document Processing
OCR
Data Modeling
Tenant Isolation
Evaluation And Testing
Security And Compliance
Production Operations
Technical Leadership
Clinical Workflow Collaboration

Benefits

Meaningful Early Equity

Visa sponsorship

Not detected in the job text

Keywords

TypeScript
Node.js
PostgreSQL
AWS
Infrastructure As Code
LLMs
OCR
Document Ingestion
Document Processing
Validated Typed Facts
Data Traceability
Abstention
PDF Forms
Evaluation Sets
Field-Level Error Tracking
Tenant Isolation
Row-Level Security
Audit Trails
Secrets Management
Data Retention
SOC 2
CI
Security Scanning
Backup And Restore
Incident Response
FHIR
HL7
EMR Integrations
Clinical Workflows
Production Operations

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