Staff Backend Engineer - Core Platform

About Us

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, have allowed us to lead the change against “we caught it too late again".

We are looking for a Staff Backend Engineer to join our Core Platform Engineering team in a hybrid role! You are experienced and passionate about building products and systems that make a meaningful impact on the lives of thousands of people and their health. Your ideal work environment is a space in which it is safe 

to experiment, challenge yourself and others, but also to fail and learn! We are looking for candidates located in either Vancouver, BC or the San Francisco Bay Area. Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives! 

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people’s lives!

What You’ll Do

• Lead architecture and modernization of our core backend services
• Champion best practices in automated testing (unit, integration, contract) and CI/CD workflows
• Drive improvements to our authentication platform, including OAuth flows and Auth0 integration
• Untangle tech debt and make high-leverage decisions that unblock engineering productivity
• Design secure, scalable systems to handle sensitive health and identity data
• Mentor engineers across the team and elevate engineering standards
• Collaborate cross-functionally with Product, Security, QA, and Clinical stakeholders
• Research and advocate for technologies that level up developer experience and system robustnes

What You’ll Bring

• 10+ years experience in backend engineering, ideally working on core platform teams
• Proven experience in Python (FastAPI, Flask) and GraphQL; familiarity with containerized dev environments
• Expertise with modern CI/CD tooling (GitHub Actions, CircleCI, etc.) and cloud platforms (AWS preferred)
• Familiarity with breaking apart monoliths into micro-services, including service boundary definition and communication patterns (REST, GraphQL, event-based)
• Hands-on experience implementing and managing secure OAuth-based authentication systems (Auth0 or similar)
• Experience designing systems that handle sensitive data (PII, healthcare/regulated environments a plus)
• Strong knowledge of databases (Postgres, DynamoDB, or equivalent)
• Excellent communication skills and ability to thrive in ambiguity

Nice to Have’s 

• Experience navigating the challenges of a startup transitioning into a scale-up, including evolving systems, processes, and team structures.
• Experience with frontend technologies like React, TypeScript, or Node.js
• Hands-on experience with contract testing frameworks (e.g., Pact)
• Experience with healthcare data (DICOM, PACS, EMR systems, HealthLake, etc.)
• Familiarity with security and privacy standards (e.g., HIPAA, ISO 27001, ISO 13485)

Our Values 

First: we are Pioneers

• Transforming healthcare requires divergent thinking, bias for action, disciplined experimentation, and consistent grit and determination to maintain momentum. This journey is as challenging as it is rewarding.

Second: we are Platform-Builders

• We’re always building foundations that allow us to achieve tomorrow more than we did today. We never lose sight of what’s ahead – in a mindset of ownership and duty to our mission.

Above all: we are Patients

• We could all be the next person who walks through our very doors, seeking clarity or peace of mind. We are proud of our impact on our patients’ lives, and we won’t stop till everyone can benefit from our work.

What We Offer

• An avenue to make a positive impact on people's lives and their health
• We believe in preventative healthcare for everyone, including our team - Prenuvo provides free, whole-body scans to each team member 
• Growth opportunities are at the heart of our people journey, we’re doing big things with bright minds - there is no single path to success, it can be shaped along the way
• Building strong relationships is at the core of everything we do - our team gets together each week to connect, share, and socialize 
• Recognizing time away to restore is vital to our wellbeing - we have a flexible vacation policy and we will encourage you to use it
• We offer a comprehensive benefits package including health, dental, vision, including Mental Health coverage, to support you and your family
• The base salary offered for this position ranges from: $157,000-$192,000 yearly in local currency depending on experience

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 to applicable federal, provincial, and state rules.

Please be advised that official communication from our recruitment team will only come from our authorized domain [prenuvo.com]. If you are contacted by a recruiter, please ensure their email address ends with @prenuvo.com. We do not use third-party recruitment services or any other email domains for hiring purposes. If you receive communication that you believe to be fraudulent, please report it immediately to [email protected].