Sr. Full Stack Software Engineer (Backend - AI products)

MedMe Health; United States; Hybrid; USD 84,000 - 112,000; Full time

Benefits offered by this job

Comprehensive Health Benefits

Group RRSP

Professional Development

Work-from-Home Stipend

Office Closure for Holidays

Company Retreats

Job summary

MedMe Health is seeking a senior backend engineer to own high-impact work end-to-end, turning ambiguous goals into shippable milestones and operating in production with fast iteration based on real customer feedback.

You will own major capabilities, improve production reliability, and advance LLM/voice agent workflows while maintaining safety and observability. This hybrid Toronto role emphasizes scalable patterns and secure-by-default practices.

Qualifications

• Strong backend engineering fundamentals: TypeScript/Node services, API design, data modelling.
• Practical full-stack fluency — comfortable contributing in React/FE when needed.
• Hands-on experience integrating with LLMs or agent frameworks and production workflows around them.
• Comfort operating production systems: debugging, incident response, monitoring, and follow-through.
• A track record of owning projects end-to-end — scope → design → build → ship → monitor → iterate.
• Strong written and verbal communication; able to join customer calls, debug issues from real workflows, and translate feedback into clear engineering plans.

Responsibilities

• Take ownership of a major capability within your first 90 days.
• Ship hardening improvements into production — monitoring/alerts, runbooks, safer rollout strategies.
• Improve LLM and voice agent workflows through durable architecture changes: tool boundaries, guardrails, and eval-driven iteration.
• Turn ambiguous asks into shippable milestones with clear communication and tight iteration loops.
• Help the team scale delivery by establishing better patterns, defaults, and maintainability standards.
• Raise the bar on operational maturity: incident follow-through, observability, and reliability.
• Contribute to security and compliance maturity through secure-by-default practices and sound judgment.

Skills

TypeScript/Node

API design

Data modelling

Full-stack fluency

LLM/agent integration

Production systems

Customer feedback loop

Tools

React

Job description

The Opportunity

We're at an exciting point: agentic automation is moving from prototype to production, and we need a senior engineer who can own high-impact work end-to-end. You'll turn ambiguous goals into shippable milestones, operate what you build in production, and iterate fast based on real customer feedback — all in a team that moves quickly without sacrificing reliability.

About MedMe Health

At MedMe, we are passionate about empowering pharmacists to provide services beyond just prescribing. Our mission is to build an all-in-one cloud-based platform that enables pharmacists to schedule, document, and manage clinical services at scale. With over 4,500 pharmacies using our software, we've facilitated more than 25 million patient services, transforming pharmacies into community health hubs across North America.

What You'll Do

• Take primary ownership of a major capability (e.g., outbound/inbound concierge workflows, clinical assistant experiences, or a core LLM/voice platform subsystem) within your first 90 days

• Ship hardening improvements into production — monitoring/alerts, runbooks, safer rollout strategies, and top error/latency reductions

• Improve our LLM and voice agent workflows through durable architecture changes: tool boundaries, guardrails, and eval-driven iteration

• Turn ambiguous asks into shippable milestones with clear communication and tight iteration loops — reduce "stuck" work for the team

• Help the team scale delivery without losing speed by establishing better patterns, defaults, and maintainability standards

• Raise the bar on operational maturity: incident follow-through, observability, and reliability

• Contribute to security and compliance maturity through secure-by-default practices and sound judgment

About You

Must-have:

• Strong backend engineering fundamentals: TypeScript/Node services, API design, data modelling

• Practical full-stack fluency — comfortable contributing in React/FE when needed, not a specialist

• Hands‑on experience integrating with LLMs or agent frameworks and building production workflows around them (evaluation, observability, safety)

• Comfort operating production systems: debugging, incident response, monitoring, and follow-through

• A track record of owning projects end-to-end — scope → design → build → ship → monitor → iterate

• Strong written and verbal communication; able to join customer calls, debug issues from real workflows, and translate feedback into clear engineering plans

Nice-to-have:

• Experience building voice agent workflows (call flows, state management, reliability patterns) and integrating with vendors like Retell

• Experience with speech‑to‑text workflows and vendors like Deepgram

• Security/compliance‑adjacent experience: threat modelling mindset, secure defaults, safe data handling

• Front‑end test automation and/or build/deploy automation experience

• AWS/GCP and production operations experience

• Comfortable using AI dev tools day‑to‑day (Claude/Claude Code, Gemini, CodeRabbit, LangSmith, etc.) while maintaining quality and safety

Success in This Role Looks Like

• 30 days: You've taken ownership of a major capability, shipped your first production improvement, and have a clear picture of where the biggest gaps are

• 60 days: You're iterating autonomously — turning ambiguous asks into milestones, closing incident/feedback loops, and improving observability across the stack

• 90 days: A production capability is noticeably more reliable and maintainable because of your work; the team is moving faster as a result

• Long‑term: You're setting the engineering bar — better patterns, tighter operational discipline, and a system that scales without needing heroics

How We Hire

MedMe is committed to a fair and equitable hiring process for all candidates. To ensure that each candidate's journey is consistent and the selection process is unbiased, the team at MedMe will not be responding to any personal messages regarding this role or other opportunities. This role will follow the below Interview Process:

1. Initial screening conversation with the recruiter

2. Intro call with the hiring manager

3. Technical interview with the team

4. Product chat with our product manager

5. References and offer

How We Use AI

At MedMe, we use AI to help us organize and manage applications, so our team can spend their time where it matters most. Every CV is personally reviewed by a human being; AI helps us stay organized, not make decisions. We believe AI should make great people more effective, not replace the thinking and judgment that great hiring requires.

Perks at MedMe

• Comprehensive Health Benefits: Full coverage for dental, vision, physical, and mental health, plus a health spending account to cover additional wellness needs

• Group RRSP: Secure your future with our Group Registered Retirement Savings Plan (RRSP)

• Professional Development: We support your growth with a yearly budget dedicated to learning opportunities

• Work-from-Home Stipend: A dedicated stipend to help set up and maintain your ideal home office

• Office Closure for Holidays: Enjoy 1-2 weeks of company‑wide office closure during the holidays

• Company Retreats: Participate in exciting on‑site team retreats for collaboration and bonding

Location

This is a hybrid position, based at our office located at the intersection of Adelaide and Spadina in Toronto, with in‑person work required 2-3 days per week, aligned to operational needs. Occasional travel is expected for customer meetings, partner discussions, and industry events. Remote candidates may be considered on an exceptional basis based on experience.

Equal Opportunity & Accessibility

MedMe is a proud equal opportunity workplace that is committed to equal employment opportunity regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We're looking for motivated and compassionate people who can execute from the ground up and support the work that MedMe believes in.

MedMe is committed to developing an inclusive, barrier‑free recruitment process and work environment. Should you require any accommodation, please inform us and we will work with you to meet your accessibility needs. For any accessibility‑related assistance, requests for information in accessible alternative formats or to report any accessibility problems, please share in your application.

Learn More About MedMe

If you'd like more context on MedMe, our growth, and the team you'd be joining, here are a few highlights:

• Globe and Mail – Canada's Top Growing Companies (2025): MedMe was recognized on The Globe and Mail's list of Canada’s Top Growing Companies, based on audited three‑year revenue growth. Link

• Forbes 30 Under 30: Our co‑founders were named to Forbes 30 Under 30 for their work building MedMe. Read more

• C100 Growth Cohort (2025): MedMe is part of the 2025 C100 Growth Cohort, a selective community of Canada's top scaling companies. Link

Compensation

The salary range for this role is CAD $116,000.00 – $156,000.00 annually. Compensation is determined based on experience, skills, and alignment to the role's scope. We're happy to discuss the full details of our compensation package with candidates who progress through our interview process.