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Realize Medical

Senior Full-Stack Engineer

Canada

Full-time

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Applications open in a new tab.

Job details

Job type: Full-time
Posting language: English
Posted: Oct 28, 2026

Original job description

Position Overview

Realize Medical is seeking a Senior Full-Stack Engineer to own the server and web systems behind Elucis, our FDA-cleared VR surgical planning platform. You will run our production services and design the new ones we build next. This is an ownership role: you will be accountable for architecture, security, and operations across the whole server side.

Key Responsibilities

Own and operate our production web platform and cloud services.
Lead security hardening and maintain compliance evidence.
Design and build new server and web services that connect with our VR, desktop, and mobile apps.
Integrate with hospital IT environments, including enterprise single sign-on.
Review backend designs across the team and record technical decisions.

Qualifications

5+ years building and operating production services that hold sensitive user data
Sound judgement in evaluating and choosing the right technology stack for the problem
Experience developing and deploying on-premise server software in customer environments
AWS operations experience (ECS, Lambda, IAM)
Authentication and SSO integration (OIDC, SAML, Active Directory)
Experience working under a compliance regime such as SOC 2, HIPAA, or ISO 13485
Daily use of AI coding agents such as Claude Code
Web front-end development experience
Experience with 3D rendering in the browser (three.js, WebGL, or Unity WebGL) is a strong asset
Experience with medical imaging, DICOM, or regulated medical software is a bonus

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More about this job

Responsibilities

Own and operate the production web platform and cloud services, with accountability for server-side architecture, security, and operations. Design and build services connecting VR, desktop, and mobile apps; integrate with hospital IT systems; and review backend designs and document technical decisions.

Requirements

Requires at least five years of experience building and operating production services that handle sensitive user data, along with AWS operations, on-premise deployments, authentication and SSO integration, and work under a compliance regime. Candidates should have sound technology-selection judgment, web front-end experience, and daily experience using AI coding agents; browser-based 3D rendering and medical software experience are assets.

Skills

Cloud Services
Security Hardening
Compliance
Server-Side Development
Web Development
On-Premise Server Software
AWS
Amazon ECS
AWS Lambda
AWS IAM
Authentication
Single Sign-On
OIDC
SAML
Active Directory

Visa sponsorship

Not detected in the job text

Keywords

Elucis
FDA-Cleared
VR Surgical Planning
Production Services
Cloud Services
Server-Side Architecture
Security Hardening
Compliance Evidence
On-Premise Server Software
AWS
Amazon ECS
AWS Lambda
AWS IAM
Authentication
Single Sign-On
OIDC
SAML
Active Directory
SOC 2
HIPAA
ISO 13485
AI Coding Agents
Claude Code
Web Front-End Development
Three.js
WebGL
Unity WebGL
Medical Imaging
DICOM
Regulated Medical Software

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