Senior Full-Stack Engineer

Realize Medical Inc.; Canada; Remote; CAD 110,000 - 170,000; Full time

Job summary

Realize Medical Inc. in Canada 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 production services and design the new ones we build next.

This ownership role covers architecture, security, and operations across the whole server side, with integration to hospital IT environments and enterprise SSO. The position leverages modern web technologies and a strong emphasis on secure, scalable

Qualifications

• 5+ years building and operating production services with sensitive user data.
• Ability to evaluate tech stacks and make architecture decisions.
• Experience deploying on-premise server software in customer environments.
• Experience with authentication and SSO integration (OIDC, SAML, AD).
• Familiarity with compliance regimes (SOC 2, HIPAA, ISO 13485).
• Daily use of AI coding agents such as Claude Code.
• Web frontend development experience.
• Nice to have: experience with medical imaging (DICOM) or regulated medical software.

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.

Skills

Full-stack development

Production services

Security architecture

Systems design

Compliance awareness

AI coding agents

Tools

OIDC

SAML

Active Directory

Job description

Product Development Canada, Fully Remote Full-time

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
• 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 medical imaging, DICOM, or regulated medical software is a bonus