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About the Role
As a Senior Full Stack Engineer on the MediCore team, you'll own product features end to end, from database design and Python APIs to polished front-end experiences. You'll work closely with product, AI/ML, and implementation teams to integrate MediCore with EHRs and clinical systems, ship AI-driven workflows, and help shape the platform's architecture as it scales.
Responsibilities
- Design, build, and maintain scalable backend services and RESTful/GraphQL APIs in Python (FastAPI, Django, or Flask).
- Develop modern, accessible front-end applications using React and TypeScript.
- Build and maintain integrations with EHR/EMR and practice management systems (e.g., Epic, Oracle Health/Cerner, athenahealth) using HL7 v2, FHIR, and third-party APIs.
- Integrate AI/LLM capabilities, including conversational agents, document processing, and intelligent routing, into production workflows.
- Design data models and optimize performance on PostgreSQL and other data stores.
- Build and deploy cloud-native services on Google Cloud Platform using Docker, GKE, Cloud Run, and CI/CD pipelines.
- Ensure the platform meets healthcare security and privacy standards (HIPAA, PHIPA, SOC 2) through secure coding, encryption, audit logging, and access controls.
- Write clean, well-tested code and participate in code reviews, architecture discussions, and technical design documents.
- Mentor junior and mid-level engineers and help raise engineering standards across the MediCore team.
- Work with implementation teams to troubleshoot issues and support go-lives with health system and clinic customers.
Requirements
- 8+ years of professional software engineering experience, with a strong track record building full stack production applications.
- Expert-level Python and deep experience with at least one major framework (FastAPI, Django, or Flask).
- Strong front-end skills in React, TypeScript, and modern JavaScript, plus HTML/CSS.
- Solid experience with relational databases (PostgreSQL preferred), including schema design, query optimization, and migrations.
- Hands-on experience with Google Cloud Platform (GCP), including services such as Cloud Run, GKE, Cloud SQL, Pub/Sub, and Cloud Storage, plus containerization with Docker.
- Experience designing and consuming APIs and building event-driven or asynchronous systems (Pub/Sub, Celery, Kafka, or similar).
- Strong understanding of authentication/authorization (OAuth2, OIDC, SSO) and data protection.
- Experience with automated testing (pytest, Jest, Playwright/Cypress) and CI/CD tools (Cloud Build, GitHub Actions, GitLab CI, or similar).
- Excellent communication skills and comfort working with non-technical stakeholders.
- Spanish Language Proficiency
Skills
- Python
- FastAPI
- Django
- Flask
- React
- TypeScript
- JavaScript
- HTML
- CSS
- PostgreSQL
- Google Cloud Platform (GCP)
- Cloud Run
- GKE
- Cloud SQL
- Pub/Sub
- Cloud Storage
- Docker
- APIs
- Event-driven systems
- Asynchronous systems
- OAuth2
- OIDC
- SSO
- pytest
- Jest
- Playwright
- Cypress
- Cloud Build
- GitHub Actions
- GitLab CI
- HL7
- FHIR
- EHR integrations
- HIPAA
- PHIPA
- SOC 2
- LLM
- Vertex AI
- Gemini
- RAG pipelines
- Vector databases
- AI agents
- BigQuery
- Twilio
- SMS
- IVR
- Pega
- Workflow platforms
- BPM platforms
Location
- Toronto
- Canada
- US
- Mexico
- Latin America
Work Type
- Full-time
Experience Level
- Senior
- 8+ years of professional software engineering experience
Benefits
- Competitive compensation
- Benefits
- Professional development support, including certifications
About the Company
- Rules Cube is a Toronto-based digital transformation and Pega consulting firm with offices in Canada, the US, Mexico, and Latin America.
- MediCore is Rules Cube's AI-powered patient access and clinic operations platform. It helps health systems, clinics, and diagnostic networks streamline scheduling, intake, referrals, and front-office operations so patients get care faster and staff spend less time on manual work.
- MediCore is growing across North and Latin America, and we're building out the engineering team behind it.