Backend Engineer - Core Platform

About Prenuvo

At Prenuvo, we are on a mission to flip the paradigm from reactive "sick-care" to proactive health care. Our award‑winning whole body scan is fast (under 1 hour), safe (MRI has no ionizing radiation), and non‑invasive (no contrast). Our unique integrated stack of optimized hardware, software, and increasingly AI, coupled with the patient‑centric experience across our domestic and global clinics, has allowed us to lead the change against "we caught it too late again".

Location:

Vancouver, BC (hybrid role). Join us to reshape the world through proactive healthcare while working with cutting‑edge technology and high‑performing teams with deep expertise – make a difference in people’s lives!

• Lead the design, evolution, and reliability of critical backend systems and cross‑cutting platform services.
• Enhance core systems such as authentication, observability, feature management, and communication infrastructure.
• Drive best practices in testing and CI/CD to improve developer velocity and product reliability.
• Tackle technical debt through thoughtful refactors and architectural improvements.
• Ensure security, privacy, and compliance for sensitive health and identity data.
• Proactively identify and address performance bottlenecks within the backend ecosystem.
• Mentor engineers and elevate technical standards across teams.
• Collaborate with Product, Security, QA, and Clinical stakeholders to align platform direction.
• Evaluate and advocate for technologies that enhance system robustness and developer experience.

• Deep experience in backend engineering (typically 10+ years), including platform or infrastructure‑focused work.
• A self‑starter mindset – able to operate independently, thrive amid ambiguity, ask the right questions, and plan complex work in clear, achievable phases.
• Proficiency in Python (FastAPI, Flask) and building scalable, production‑grade systems on AWS.
• Expertise in CI/CD (Git Hub Actions, Circle
  
  CI) and modern Dev Ops workflows.
• Proven experience evolving systems from monoliths to microservices (REST, Graph
  
  QL, event‑driven).
• Strong foundation in data design (Postgres, Dynamo
  
  DB, or similar).
• A thoughtful, security‑first approach – especially with PII or healthcare data.
• Exceptional communication and collaboration skills, especially in ambiguous environments.

• Experience with secure OAuth‑based systems (Auth0 or similar).
• Familiarity with security/compliance frameworks (HIPAA, ISO 27001/13485).
• Exposure to frontend technologies such as (React, Type Script) and an appreciation for seamless end‑to‑end development.
• Experience ensuring reliable service integrations through contract or end‑to‑end testing (e.g., Pact, Playwright, Cypress).
• Knowledge of healthcare data standards (DICOM, PACS, EMR, Health Lake).
• Background in fast‑scaling startups or evolving engineering orgs.

• First:
  Pioneers – Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum.
• Second:
  Platform‑Builders – We’re always building foundations that allow us to achieve tomorrow more than we did today.
• Above all:
  Patients – We could all be the next person who walks through our very doors, seeking clarity or peace of mind.

• An avenue to make a positive impact on people’s lives and their health.
• Free, whole‑body scans to each team member.
• Growth opportunities at the heart of our people journey.
• Flexibility with vacation policy and encouragement to use it.
• Comprehensive benefits package including health, dental, vision, and mental health coverage.
• The base salary for this role ranges from $180,000–$210,000 in local currency, depending on experience and geographic location.

We are an equal‑opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. As part of the hiring process, successful candidates will undergo a background check in compliance with applicable federal, provincial, and state rules.

If you are contacted by a recruiter, please ensure their email address ends with  We do not use third‑party recruitment services or any other email domains for hiring purposes.