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Realize Medical Inc.

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Senior Full-Stack Engineer

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Summary

Realize Medical seeks a Senior Full-Stack Engineer to own and operate the server and web systems behind Elucis, its FDA-cleared VR surgical planning platform. The role spans architecture, security and compliance (SOC 2/HIPAA), hospital on-prem and SSO integrations, and building new services for VR, desktop, and mobile apps.

Product Development Canada, Fully Remote Full-time

Position Overview

Realize Medical is seeking a Senior Full-Stack Engineer to own the server and web systems behind Elucis, our FDA-cleared VR surgical planning platform. You will run our production services and design the new ones we build next. This is an ownership role: you will be accountable for architecture, security, and operations across the whole server side.

Key Responsibilities

  • Own and operate our production web platform and cloud services.
  • Lead security hardening and maintain compliance evidence.
  • Design and build new server and web services that connect with our VR, desktop, and mobile apps.
  • Integrate with hospital IT environments, including enterprise single sign-on.
  • Review backend designs across the team and record technical decisions.

Qualifications

  • 5+ years building and operating production services that hold sensitive user data
  • Sound judgement in evaluating and choosing the right technology stack for the problem
  • Experience developing and deploying on-premise server software in customer environments
  • Authentication and SSO integration (OIDC, SAML, Active Directory)
  • Experience working under a compliance regime such as SOC 2, HIPAA, or ISO 13485
  • Daily use of AI coding agents such as Claude Code
  • Web front-end development experience
  • Experience with medical imaging, DICOM, or regulated medical software is a bonus

Skills

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