Senior Full Stack Engineer (Python)

Rules Cube is a Toronto-based digital transformation and Pega consulting firm with offices in Canada the US Mexico and Latin America.

MediCore is Rules Cubes AI-powered patient access and clinic operations platform. It helps health systems clinics and diagnostic networks streamline scheduling intake referrals and front-office operations so patients get care faster and staff spend less time on manual work. MediCore is growing across North and Latin America and were building out the engineering team behind it.

As a Senior Full Stack Engineer on the MediCore team youll own product features end to end from database design and Python APIs to polished front-end experiences. Youll work closely with product AI/ML and implementation teams to integrate MediCore with EHRs and clinical systems ship AI-driven workflows and help shape the platforms architecture as it scales.

• Design build and maintain scalable backend services and RESTful/GraphQL APIs in Python (FastAPI Django or Flask).
• Develop modern accessible front-end applications using React and TypeScript.
• Build and maintain integrations with EHR/EMR and practice management systems (e.g. Epic Oracle Health/Cerner athenahealth) using HL7 v2 FHIR and third-party APIs.
• Integrate AI/LLM capabilities including conversational agents document processing and intelligent routing into production workflows.
• Design data models and optimize performance on PostgreSQL and other data stores.
• Build and deploy cloud-native services on Google Cloud Platform using Docker GKE Cloud Run and CI/CD pipelines.
• Ensure the platform meets healthcare security and privacy standards (HIPAA PHIPA SOC 2) through secure coding encryption audit logging and access controls.
• Write clean well-tested code and participate in code reviews architecture discussions and technical design documents.
• Mentor junior and mid-level engineers and help raise engineering standards across the MediCore team.
• Work with implementation teams to troubleshoot issues and support go-lives with health system and clinic customers.

• 8 years of professional software engineering experience with a strong track record building full stack production applications.
• Expert-level Python and deep experience with at least one major framework (FastAPI Django or Flask).
• Strong front-end skills in React TypeScript and modern JavaScript plus HTML/CSS.
• Solid experience with relational databases (PostgreSQL preferred) including schema design query optimization and migrations.
• Hands-on experience with Google Cloud Platform (GCP) including services such as Cloud Run GKE Cloud SQL Pub/Sub and Cloud Storage plus containerization with Docker.
• Experience designing and consuming APIs and building event-driven or asynchronous systems (Pub/Sub Celery Kafka or similar).
• Strong understanding of authentication/authorization (OAuth2 OIDC SSO) and data protection.
• Experience with automated testing (pytest Jest Playwright/Cypress) and CI/CD tools (Cloud Build GitHub Actions GitLab CI or similar).
• Excellent communication skills and comfort working with non-technical stakeholders.
• Spanish Language Proficiency

• Healthcare technology experience especially with HL7 FHIR or EHR integrations.
• Familiarity with HIPAA PHIPA or other healthcare compliance frameworks.
• Experience building LLM-powered features ideally with Vertex AI and Gemini including RAG pipelines vector databases or AI agents.
• Google Cloud certification (e.g. Professional Cloud Developer or Professional Cloud Architect).
• Experience with BigQuery or other GCP data and analytics services.
• Experience with voice/telephony or messaging platforms (Twilio SMS IVR).
• Exposure to Pega or other workflow/BPM platforms.
• Spanish proficiency to support MediCores growing customer base in Mexico and Latin America.
• Experience in a SaaS or high-growth product environment.

• Build healthcare technology used by clinics and health systems across multiple countries.
• Work at the intersection of AI and healthcare operations with real ownership over the product.
• The pace of a product team with the stability of an established firm.
• Collaborative international team spanning Canada the US and Latin America.
• Competitive compensation benefits and professional development support including certifications.