Sr. Full Stack Software Engineer (Backend AI products)

Were 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. Youll 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.

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 4500 pharmacies using our software weve facilitated more than 25 million patient services transforming pharmacies into community health hubs across North America.

• 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

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

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

• 60 days: Youre 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: Youre setting the engineering bar better patterns tighter operational discipline and a system that scales without needing heroics

MedMe is committed to a fair and equitable hiring process for all candidates. To ensure that each candidates 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

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.

• 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

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.

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. Were 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.

If youd like more context on MedMe our growth and the team youd be joining here are a few highlights:

• Globe and Mail Canadas Top Growing Companies (2025): MedMe was recognized on The Globe and Mails list of Canadas 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 Canadas top scaling companies. Link

The salary range for this role is CAD $116000.00 $156000.00 annually. Compensation is determined based on experience skills and alignment to the roles scope. Were happy to discuss the full details of our compensation package with candidates who progress through our interview process.