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Verismo Health

Full Stack Software Engineer

Markham, ON, Canada

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

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Original job description

Company Description

At Verismo Health Inc., we deliver innovative, patient-centered healthcare solutions designed to improve access, efficiency, and outcomes. Focused on both in-person and telemedicine services, we bridge traditional care with modern technology to enhance patient experiences and empower physicians.

Operating across Ontario, we manage one of the province's largest networks of primary care clinics and healthcare services, combining evidence-based practices with cutting-edge technologies. Our mission is to streamline healthcare delivery, support multidisciplinary teams, and shape the future of healthcare one patient at a time.

Role Description

Full-time, on-site Full-Stack Developer based in Markham, Ontario. We build and run healthcare software that handles patient data under PHIPA. We are a small team that works AI-first. Most of our code is produced with tools such as Claude Code, Codex & Cursor, reviewed by an engineer, and shipped through automated checks.

In this role, your value comes from how well you direct those tools and how reliably you judge their output, not from how much code you write by hand. That requires strong engineering foundations: a clear understanding of how requests, data, and permissions move through a system, and the discipline to verify what the tools produce before it reaches production. Fluency with AI tooling is essential, but it must rest on genuine technical understanding.

What You'll Do

Own features end to end: scope the problem, build it with AI-assisted tools, test it, ship it, and support it in production.
Build and maintain React/Next.js interfaces and the Node APIs and Postgres data layers behind them.
Review AI-generated code critically. You are the last line of defence for correctness, security, and data handling.
Write and maintain the instructions our coding agents work from (AGENTS.md, repo skills, guardrails, CI checks) so the tools produce consistent, compliant code.
Build & develop AI agents for complex workflows.
Add tests where they matter and keep CI green. We automate what can be automated.
Debug production issues by reading logs, tracing data flow, and forming hypotheses, not by guessing.
Work directly with clinical and operations staff to understand real workflows before building.
Handle patient data correctly every time: least-privilege access, audit trails, no PHI in logs or prompts.

Must-Have Qualifications

Strong fundamentals: HTTP, REST, relational data modelling, SQL, authentication and authorization, async JavaScript. Example: You can explain how a request flows from browser to database and back.
Working experience with TypeScript, React or Next.js, and a Node backend.
Daily, hands-on use of AI coding tools (Claude Code, Cursor, Copilot, or similar) as a primary way of working. You can describe how you prompt, review, and verify their output.
Integrate MCP’s, create custom tools, skills, hooks for AI agents.
Ability to read and evaluate code you did not write, including spotting security and data-handling mistakes.
Practical testing and debugging skills: you know what to test, how to reproduce a bug, and how to confirm a fix.
Git and GitHub pull-request workflows. Comfortable with branches, reviews, and CI.
Care and judgement around sensitive data. Prior healthcare experience is not required, but you must take compliance seriously and learn PHIPA fundamentals quickly.

Preferred Qualifications

Docker, CI/CD pipelines, monitoring, AWS.
Experience with EMR systems, healthcare, or another regulated industry.
Experience setting up or tuning AI agent workflows for a team (repo instructions, custom skills,
automated review tools).

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More about this job

Responsibilities

Own software features from scoping through AI-assisted development, testing, deployment, and production support, including React/Next.js interfaces, Node APIs, and PostgreSQL data layers. Review AI-generated code, develop agent instructions and workflows, troubleshoot production issues, and protect patient data while collaborating with clinical and operations teams.

Requirements

Candidates need strong engineering fundamentals in HTTP, REST, relational data modeling, SQL, authentication and authorization, and asynchronous JavaScript, along with hands-on TypeScript, React or Next.js, and Node experience. They must regularly use AI coding tools, critically review code for correctness and security, test and debug effectively, use GitHub pull-request workflows, and handle sensitive data responsibly.

Skills

TypeScript
React
Next.js
Node.js
PostgreSQL
SQL
REST
HTTP
Authentication and Authorization
AI Coding Tools
AI Agent Development
MCP Integration
Testing and Debugging
Git and GitHub
CI/CD
PHIPA Compliance

Visa sponsorship

Not detected in the job text

Keywords

TypeScript
React
Next.js
Node.js
PostgreSQL
SQL
HTTP
REST
Relational Data Modeling
Authentication
Authorization
Asynchronous JavaScript
Claude Code
Codex
Cursor
GitHub Copilot
MCP
AI Agents
AGENTS.md
Custom Tools
Agent Skills
Hooks
Automated Checks
CI/CD
Docker
AWS
Monitoring
PHIPA
Protected Health Information
Audit Trails

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