Senior Full Stack Software Engineer, Backend - AI products
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Key skills for this role
About the Role
MedMe Health is seeking a Senior Full Stack Software Engineer to own high-impact work on AI products, including LLM and voice agent workflows. The role requires strong backend engineering fundamentals in TypeScript/Node, full-stack fluency, and experience integrating with LLMs.
Key Skills for This Role
Responsibilities
- 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
- 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
Requirements
- 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 building production workflows around them
- Comfort operating production systems: debugging, incident response, monitoring, and follow through
- Track record of owning projects end to end — scope, design, build, ship, monitor, iterate
- Strong written and verbal communication; able to join customer calls and translate feedback into engineering plans
- Experience building voice agent workflows (call flows, state management, reliability patterns) is nice to have
- Experience with speech to text workflows and vendors like Deepgram is nice to have
- Security/compliance adjacent experience is nice to have
- Front end test automation and/or build/deploy automation experience is nice to have
- AWS/GCP and production operations experience is nice to have
Full Job Posting
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.
About MedMe Health
- MedMe builds an all in one cloud based platform that enables pharmacists to schedule, document, and manage clinical services at scale. Over 4,500 pharmacies use our software.
What You'll Do
- Take primary ownership of a major capability 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
- Turn ambiguous asks into shippable milestones with clear communication and tight iteration loops
- 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
- Must have: Practical full stack fluency — comfortable contributing in React/FE when needed
- Must have: Hands on experience integrating with LLMs or agent frameworks and building production workflows around them
- Must have: Comfort operating production systems: debugging, incident response, monitoring, and follow through
- Must have: Track record of owning projects end to end
- Must have: Strong written and verbal communication
- Nice to have: Experience building voice agent workflows
- Nice to have: Experience with speech to text workflows
- Nice to have: Security/compliance adjacent experience
- Nice to have: Front end test automation and/or build/deploy automation experience
- Nice to have: AWS/GCP and production operations experience
Compensation
- The salary range for this role is CAD 115,000 – CAD 176,000 annually.
Perks at MedMe
- Comprehensive Health Benefits: Full coverage for dental, vision, physical, and mental health, plus a health spending account
- Group RRSP
- Professional Development: yearly budget dedicated to learning opportunities
- Work from Home Stipend
- Office Closure for Holidays: 1 2 weeks of company wide office closure during the holidays
- Company Retreats
Location
- Hybrid position based in Toronto, with in person work required 2 3 days per week.
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