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Added 1 hour ago
X
Tech Lead - Fullstack
Xsolla
Canada
- Full-time
We are looking for a Senior Software Engineer (Full-Stack) who is architecturally strong, quality-driven, and highly collaborative to join our Engineering team. The best candidate will be…
Added 2 hours ago
TC
DevSecOps Engineer
Tata Consultancy Services
Toronto, ON
- $90,000 to $110,000 CAD / year
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 4 hours ago
TC
Production Support Engineer
Tata Consultancy Services
Toronto, ON
- $90,000 to $110,000 CAD / year
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 4 hours ago
TC
Sr. IFRS17 Data Engineer
Tata Consultancy Services
Toronto, ON
- $90,000 to $110,000 CAD / year
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 21 hours ago
A
Senior Python Developer
Ampliwork
Brossard, QC
- Full-time
You'll have the opportunity to take meaningful ownership, work across the full development lifecycle, and build production-ready solutions at the intersection of software engineering, cloud…
Added 21 hours ago
A
Senior Python Developer
Ampliwork
Montreal, QC
- Full-time
You'll have the opportunity to take meaningful ownership, work across the full development lifecycle, and build production-ready solutions at the intersection of software engineering, cloud…
Added 1 day ago
TL
CTO (Chief Technology Officer)
Total Life, Inc.
Remote, Canada
- Full-time
- Remote
Build and ship. You will write, review and ship code across the stack. Over the past year we built our native systems, which gives us full control over patient engagement, agentic workflows…
Added 1 day ago
E
Principal Software Engineer
EngRadar
Kitamaat 2, BC
- Full-time
As a Principal Software Engineer on Conga’s B2B Platform Engineering, Core Services team, you’ll own the security, identity, and access management capabilities that every Conga B2B product…
Added 1 day ago
Senior Software Engineer, AI
Asana
Vancouver, BC
We’re looking for a Senior Software Engineer to join our growing AI organization in Vancouver. Asana is pioneering a new category of technology as the human-agent operating system, doubling…
Added 1 day ago
RB
Lead Full Stack Developer
Royal Bank of Canada
Toronto, ON
- Full-time
A Lead Full Stack Developer is responsible for designing, developing and maintaining legacy and "Cloud First" applications written primarily in C# and focused on .Net Core and cloud…
Added 1 day ago
W
Software Engineer II, Supplier Advertising
Wayfair
Toronto, ON
- $151,411 to $169,169 CAD / year
- Full-time
…center, and will help design, build, and scale the ad-serving infrastructure powering this ecosystem. Working across backend services and storefront integrations, you’ll focus on building…
Added 2 days ago
MT
Senior Software Engineer
Marble Technology Inc.
Remote, Canada
- $160,000 to $210,000 USD / year
- Full-time
- Remote
We're searching for a talented and driven Senior Software Engineer to help define and build the foundation of our AI-first tax platform. This is a high-impact role for someone who wants…
Added 2 days ago
HA
Senior Software Engineer
H2 Analytics
Remote, Canada
- $120,000 to $170,000 CAD / year
- Full-time
- Remote
You are a well-rounded senior software engineer with at least 6 years of experience building complex web applications and backend services as a full-stack engineer, with a minimum of 2…
Added 2 days ago
H
eTrading Full Stack Engineering - Network
HSBC
Toronto, ON · Greater Toronto Area, Canada
- $91,600 to $137,300 CAD / year
- Full-time
You’ll join the eTrading infrastructure engineering team responsible for resilient deterministic and low-latency network services supporting electronic trading platforms. This hands-on role…
Added 2 days ago
TC
Data AI Engineer
Tata Consultancy Services
Mississauga, ON
- $100,000 to $130,000 CAD / year
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 2 days ago
T
.NET/C# Engineer, TD Securities
TD
Toronto, ON
- Full-time
Full stack development from UI (web technologies) to app services.
Added 2 days ago
H
eTrading Full Stack Engineering - Compute
HSBC
Toronto, ON · Greater Toronto Area, Canada
- $91,600 to $137,300 CAD / year
- Full-time
Join our eTrading infrastructure engineering team in Markets & Securities Services Information Technology, building deterministic, secure and highly available compute platforms supporting…
Added 2 days ago
Software Engineer I
Fivetran
Toronto, ON
Fivetran is building data pipelines to power the modern data stack for thousands of companies. We’re looking for a Software Engineer I enthusiastic to join our fast-growing company.
Added 2 days ago
R
Senior AI Native Software Engineer, Identity & Trust
Remitly
Burnaby, BC
- Full-time
As a Senior AI Native Software Engineer, you direct AI agents to build products and solutions, rather than writing code directly. You leverage AI coding agents to replace manual tasks,…
Added 2 days ago
R
AI Native Software Engineer II, Identity & Trust
Remitly
Burnaby, BC
- Full-time
As a AI Native Software Engineer II, you direct AI agents to build products and solutions, rather than writing code directly. You leverage AI coding agents to replace manual tasks, build…
Added 2 days ago
TC
Data Engineer - Big Data / PySpark
Tata Consultancy Services
Toronto, ON
- $90,000 to $100,000 CAD / year
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 2 days ago
TC
Palo Alto Network Engineer - L3
Tata Consultancy Services
Montreal, QC
- Full-time
…is enabling its clients to transform themselves across the full AI stack, from infrastructure to…
Added 2 days ago
C
Engineer (Python/AWS + Azure/React) (Senior/NewGrad)
Caddie
Toronto, ON
- Full-time
Hybrid (preferably in Toronto) · Full-time · North American Eastern Time
Added 2 days ago
AT
AI Engineer
Altitude Technology Solutions Inc
Toronto, ON
- Contract
…orchestration, policy enforcement) following MCP protocol. Engineer robust guardrails for safety, compliance, and least-privilege…
Added 2 days ago
TD
DevOps Engineer
Time Doctor
Remote, Canada
- Contract
- Remote
Time Doctor is hiring a DevOps Engineer to run and scale the cloud infrastructure behind our platform. Most of it runs on Google Cloud, defined in Terraform across 40+ environments, with…

Total Life, Inc.

CTO (Chief Technology Officer)

Remote, Canada

Remote

Full-time

Apply About employer

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Job details

Job type: Full-time
Workplace: Remote
Posting language: English
Posted: Oct 24, 2026

Original job description

Chief Technology Officer (CTO)

Total Life · Seed Stage · Equity Package · Full-Time · Remote (North America)

About Total Life

Total Life is a national behavioral health telehealth platform built for adults later in life, the fastest-growing and most underserved population in American healthcare. We offer therapy in all 50 states plus Washington, DC, through a network of 200+ licensed clinicians. We have expanded into psychiatry, longevity, weight loss and cognitive care, and we bill Original Medicare Part B directly. We are in-network nationally with Aetna, Cigna, UnitedHealthcare and Humana, and with most Blue Cross Blue Shield and regional plans.

We are growing quickly. Total Life ranks in the top 10 of the Deloitte Technology Fast 50 (Canada) and #5 in healthcare on the Inc. 5000. We have also been named to the C100 and are a member of the AARP AgeTech Collaborative. We are now entering our next phase of hypergrowth, and we need a technical leader to build what comes next.

The Role

This is not a CTO role where you manage from a distance. We want a builder-leader who will write production code every week and also set the technical vision for the company. You will work directly with leadership, on the strategic roadmap. You will own the architecture, and you will build AI-first systems that change how older adults find, start and stay in care.

The role is high-profile, high-impact and hands-on. It suits someone who is all in, energized by an intense, fast-moving environment, and excited to build a category-defining company from the ground up.

What You'll Do

Build and ship. You will write, review and ship code across the stack. Over the past year we built our native systems, which gives us full control over patient engagement, agentic workflows and a multi-specialty care experience. You'll take that platform to its next level.

Lead AI-first product development. You will design and scale AI systems that run in real clinical and operational workflows. One example is Lily, our AI companion, which calls patients to schedule appointments, send medication reminders, run screenings and coach CBT exercises. You'll also build intelligent intake, automated eligibility and agentic back-office operations.

Co-own the strategic roadmap. You will partner with leadership turn company strategy into a technical roadmap. That includes build-vs-buy decisions, sequencing, platform bets and the long-term vision of Total Life as the infrastructure other behavioral health practices can run on.

Champion product design and customer experience. Our patients are older adults, and many are new to telehealth. You'll bring a sharp design eye to every patient, clinician and partner touchpoint, so that the product is simple, warm and accessible.

Engineer for growth and engagement. You will build the features and tools that drive acquisition, activation, retention and session completion. Examples include referral loops, partner dashboards, re-engagement flows, and in-platform experiences that keep patients connected to their care.

Integrate marketing technology. You will connect the platform to our growth engine, including attribution, CRM, messaging, conversion funnels and paid acquisition data, so that marketing and product run on one source of truth.

Own healthcare infrastructure. You will lead our work on payer and eligibility integrations (including CMS HETS 270/271), interoperability, senior-living integrations such as PointClickCare, and revenue cycle data flows.

Secure and scale the platform. You will keep HIPAA compliance, security, uptime and data integrity strong as our patient volume, states and service lines grow.

Build and lead the team. You will set the engineering culture, raise the bar for quality and speed, manage in-house and contract developers, and hire the team that will carry us through Series A and beyond.

To Apply

Send your resume along with a few sentences about something you've built that you're proud of, and why this role excites you. Links to GitHub, shipped products or portfolio work are encouraged.

What You Bring

You have 8+ years of software engineering experience, including meaningful time as a technical leader (CTO, VP Engineering, founding engineer or head of engineering) at a startup or high-growth company.

You are still an active hands-on coder and enjoy shipping. You have deep experience with modern backend systems, cloud infrastructure and API design. Experience with Go is a strong plus, along with fluency in modern frontend frameworks.

You have shipped AI and LLM-powered products in production, including agentic workflows, voice or conversational AI, and retrieval systems. You understand both their potential and their failure modes.

You have strong product and design instincts. You care how things look and feel, and you can tell when a feature will drive engagement and when it won't.

You have a track record of building systems from zero to one and then scaling them through rapid growth.

You can translate between business strategy and technical execution, and you can communicate clearly with the CEO, clinicians, partners and investors.

You thrive with ambiguity, urgency and ownership, and you want to be in the arena.

Huge Pluses

Healthcare technology experience is a major plus, especially EHRs, telehealth, HIPAA, HL7/FHIR, payer integrations, eligibility and claims, or revenue cycle systems. So is experience with marketing technology and growth infrastructure, such as attribution, CRM platforms, lifecycle messaging and experimentation frameworks. We also value experience building products for older adults, caregivers or accessibility-first audiences, experience at a startup through a Series A or later raise, and background in behavioral health, Medicare or value-based care.

Why Total Life

You'll do meaningful work. Behavioral health for older adults is one of the largest unmet needs in American healthcare, and your work will directly improve access to care for people who have long been overlooked.

You'll join proven momentum. We are nationally recognized as one of the fastest-growing companies in North America, with a national clinician network and broad insurance coverage already in place.

You'll have real ownership. As CTO you'll hold a seat at the leadership table, have a direct line to the CEO, and shape both the technology and the company.

You'll get meaningful equity. We offer a competitive salary and significant equity in a company at an inflection point.

You'll build from the ground floor. This is the chance to architect the platform that defines tech-enabled care for aging adults.

Apply About employer

More about this job

Responsibilities

You will lead the technical vision and architecture while actively writing production code to build AI-first systems for telehealth. Additionally, you will partner with leadership to define the strategic roadmap and scale the engineering team through hypergrowth.

Requirements

Candidates must have 8+ years of software engineering experience with a strong background in technical leadership and hands-on coding. Proficiency in modern backend systems, cloud infrastructure, and experience shipping AI/LLM-powered products is required.

Skills

Software Engineering
Technical Leadership
Cloud Infrastructure
API Design
Go
Frontend Frameworks
AI Systems
LLM
Agentic Workflows
Product Design
Healthcare Technology
HIPAA Compliance
Interoperability
Revenue Cycle Management
Strategic Roadmap

Benefits

Equity Package

Remote locations

North America

Visa sponsorship

Not detected in the job text

Keywords

CTO
Telehealth
Behavioral Health
AI
LLM
Go
Cloud Infrastructure
API
HIPAA
HL7
FHIR
EHR
Medicare
Product Strategy
Engineering Management
Full-Stack Development
Scalability
Interoperability
Revenue Cycle
Startup
Growth
Patient Engagement
Agentic Workflows
Voice AI
Conversational AI
CRM
Marketing Technology
Accessibility
CMS
HETS

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