Senior Software Engineer, Health Data

Molecular You

$120K — $140K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of production experience with Ruby on Rails and Elixir/Phoenix built and maintained services
  • Hands-on experience with distributed systems, including async messaging and failure mechanisms
  • Proficient in using Terraform and AWS for infrastructure management
  • Demonstrated ability to reduce platform entropy through meaningful migrations or refactors
  • Experience making security or compliance decisions in a production setting, especially in the context of HIPAA or PIPEDA
  • Strong communication skills to articulate technical decisions to non-technical stakeholders

Responsibilities

  • Own the quality and consistency of the platform across services
  • Thoughtfully introduce and drive the adoption of new technologies
  • Balance security and compliance needs with delivery requirements
  • Diagnose production issues and lead improvements from start to finish
  • Develop new health report products in collaboration with the scientific product manager

Benefits

  • Ownership of platform quality and engineering standards on a production health platform
  • Direct access to customer feedback and clinical context
  • Flexible hybrid work environment in Vancouver
  • Work in a small team where your contributions are highly valued and impactful
  • Engage in hands-on architectural decision-making
Full Job Description
We're looking for a senior backend engineer to own platform quality - consistency across services, thoughtful tech adoption, security and compliance, and shipping things through to done. Compensation is $120,000-$140,000 CAD depending on experience. You'll also work closely with our scientific product manager to co-design new health report products, which means you'll need genuine curiosity about how biology works. You don't need a science degree - but if you've ever looked at your own lab results and wondered what they actually mean, that's the instinct.

What you'll own

  • Platform quality and consistency - you notice when two services handle errors differently and fix it, not file a ticket
  • Thoughtful introduction of new technology - you're skeptical until it earns its place, then you drive adoption through
  • Security and compliance balance - you've made design decisions where delivery and security were in tension, and you navigated them with judgment, not just caution
  • Production improvements from diagnosis through to resolution - you close the loop
  • New health report products developed alongside our scientific PM - from clinical question to shipped feature


What we're looking for

  • Production experience with Ruby on Rails and Elixir/Phoenix - shipped and operated, not just familiar
  • Distributed systems in practice: async messaging (RabbitMQ or similar), failure modes, idempotency, dead-letter queues
  • Infrastructure ownership: Terraform and AWS at a level where you can drive a change, not just read one
  • At least one example of reducing platform entropy - a migration, deprecation, or refactor that made a system class simpler, not just larger
  • Experience owning a security or compliance decision end-to-end (HIPAA/PIPEDA context is a plus; the judgment is the requirement)
  • Clear, direct communication - you can explain a technical trade-off to a scientific PM without either oversimplifying or retreating into jargon


If you meet most of these but not all, we'd still like to hear from you. We're looking for the right person, not the perfect checklist.

How we work

We use Shape Up: six-week cycles with real autonomy, followed by cooldown periods where you help shape what comes next. You'll have direct access to customer feedback and clinical context. Engineering, product, and science work closely together here - decisions get made in conversations, not committees.
We're a small team. Your voice will carry. So will your follow-through.

Our stack

Ruby on Rails • Elixir/Phoenix • RabbitMQ • PostgreSQL • Terraform • AWS • GitHub

What we offer

  • Ownership of platform quality and engineering standards across a production health platform
  • A role where your architectural decisions are load-bearing, and you'll know it Vancouver-based, hybrid - we work together in person and value flexibility

Similar Jobs

More Healthcare Jobs

Find similar Senior Software Engineer, Health Data jobs: