Staff Backend Engineer

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 Vancouver, BC. 

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 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.

What You'll Bring

• 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 (GitHub Actions, CircleCI) and modern DevOps workflows.
• Proven experience evolving systems from monoliths to microservices (REST, GraphQL, event-driven).
• Strong foundation in data design (Postgres, DynamoDB, or similar).
• A thoughtful, security-first approach — especially with PII or healthcare data.
• Exceptional communication and collaboration skills, especially in ambiguous environments.

Nice to Haves 

• 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, TypeScript) 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, HealthLake).
• Background in fast-scaling startups or evolving engineering orgs.

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 for this role ranges from $180,000- $210,000 in local currency, depending upon 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 to applicable federal, provincial, and state rules.

Please be advised that official communication from our recruitment team will only come from our authorized domain []. 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. If you receive communication that you believe to be fraudulent, please report it immediately to