Staff Engineer - Patient Platform

Prenuvo • Vancouver, BC

66d • Hybrid

About The Position

We’re looking for a Staff Engineer to join our Patient Platform team and shape the systems that power patient-facing experiences across our health technology platform. This team owns the APIs, orchestration services, and communication infrastructure that enable secure, reliable interactions between patients and our platform (Email, SMS, notifications).
We are at a critical stage of growth, scaling our platform, modernizing legacy services, and strengthening our event-driven architecture to support increasing patient volume and communication complexity. This role will play a central part in defining how our backend systems evolve as we scale.
As a Staff Engineer, you will be the technical authority for the Patient Platform domain, translating architectural strategy into scalable, production-ready distributed systems in partnership with cross-functional teams. You will drive the evolution of our API-first architecture (including BFF and orchestration patterns), define and enforce API contracts, and modernize tightly coupled services into scalable, event-driven components.
This is an opportunity for a senior technical leader who thrives in ambiguity, moves pragmatically, and enjoys balancing hands-on engineering with architectural influence.
You will strengthen reliability, observability, and fault tolerance across distributed systems, scale and harden our patient communication platform (Email, SMS, notifications), and design secure systems handling sensitive patient and identity data in regulated environments. Additionally, you will champion best practices in automated testing, CI/CD, and secure development while elevating engineering standards through mentorship, design reviews, and technical leadership.
We have a strong preference for candidates based in Vancouver, BC who are able to work in a hybrid capacity. However, we are open to remote candidates across Canada.
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!

Requirements

• 10+ years of backend engineering experience, including platform or high-scale distributed systems
• Strong experience in Python (FastAPI, Flask) or similar modern backend frameworks
• Deep expertise designing event-driven architectures in AWS (EventBridge, SQS/SNS, Lambda, ECS)
• Experience building and operating async task processing systems (e.g., Celery or similar)
• Proven ability to define and govern REST and/or GraphQL APIs at scale
• Strong understanding of service boundaries, microservices, and async service-to-service communication
• Experience designing highly observable systems (metrics, tracing, alerting — e.g., Datadog or similar)
• Experience implementing secure authentication and authorization (OAuth2, JWT, service-to-service security)
• Experience working with Postgres, DynamoDB, and distributed caching systems (e.g., Redis)
• Familiarity with Infrastructure as Code (Terraform/CDK) and mature CI/CD practices
• Experience designing systems in regulated environments handling sensitive data (HIPAA, PHI/PII)
• Excellent technical communication skills and demonstrated cross-team architectural influence
• Ability to operate effectively in ambiguity and drive clarity across teams

Nice To Haves

• Experience building or scaling communication platforms (email delivery systems, SMS gateways, notification orchestration)
• Familiarity with BFF patterns supporting React or modern frontend applications
• Hands-on experience with contract testing frameworks (e.g., Pact)
• Experience navigating the challenges of a startup transitioning into a scale-up
• Experience with healthcare or regulated environments (HIPAA, PHI/PII)
• Familiarity with security and privacy standards (e.g., HIPAA, ISO 27001, ISO 13485)

Responsibilities

• Lead design and modernization of our patient-facing backend services
• Drive API design best practices, including BFF and orchestration patterns
• Define and enforce API contracts and cross-service communication standards
• Design and implement event-driven workflows using AWS EventBridge and async messaging
• Improve reliability and fault tolerance of communication pipelines (email, SMS, notifications)
• Ensure secure authentication and authorization is consistently implemented across APIs
• Untangle tech debt and make high-leverage decisions that improve engineering velocity
• Design secure, scalable systems that handle sensitive patient and identity data
• Mentor engineers across the team and elevate system design standards
• Collaborate cross-functionally with Product, Architecture, Security, QA, Clinical, and Frontend teams
• Communicate complex technical concepts clearly to cross-functional stakeholders and leadership, influencing architectural direction and product decisions
• Advocate for improvements in developer experience, testing practices, and system observability

Benefits

• 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
• The base salary for this role ranges from $180,000- $210,000 in local currency, depending upon experience and geographic location

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed