Burnout, staffing shortages, chronic underfunding — healthcare is under more strain than it has ever been. A disproportionate share of available resources never reach patients; they're consumed by the administrative layer that sits between a provider and the care they deliver.
PocketHealth exists to change that. Our flagship imaging platform gives patients direct, secure access to their medical images and records, trusted by hundreds of hospitals and clinics across North America. Conductor is our agentic AI automation platform — purpose-built to take the administrative weight off healthcare providers so their people and their dollars can go back into care.
About The Role:
As a Software Engineer, you will work alongside a team of engineers to get Conductor live and to make it matter. Working collaboratively and under the guidance of senior engineers, your team will take a signed contract and own everything it takes to turn it into a working deployment: writing code, building integrations, extending agentic workflows, and standing up the infrastructure to run reliably in a real provider environment.
The impact isn't abstract. When an automation goes live, it's dollars freed from administration and returned to care. It's staff time given back to patients. The software you ship, the workflows you automate, and the deployments you contribute to translate directly into care at every provider you work with. This is a rare opportunity to do work that is technically demanding, deeply human, and genuinely consequential.
This job posting is for an existing vacancy. The salary range for this position is $110,000 - $135,000 annually, depending on the experience and expertise you bring to the team. Salary is just one part of the story, though; this role is eligible for equity in the form of stock options and includes a comprehensive health and benefits package. We view our compensation as a total investment of your well-being, designed to support you in both your work and your life outside of it.
This is a hybrid position with two days a week in our Toronto office, where we collaborate deeply; the rest is yours to work from wherever you do your best thinking.
What You'll Do:
- Support deployments end to end: Contribute to the full technical implementation of Conductor for each client, from kickoff through go-live. Write the code, support the integration scope, and help build the trust that turns a successful go-live into a long-term relationship.
- Build, integrate, and ship: Write and extend agentic workflows in Conductor's orchestration engine — building custom tools, integration adapters, and transformation logic tailored to each client's operational patterns. That means working across the full stack: backend services in Python and TypeScript, integrations against real healthcare provider environments (HL7 v2, FHIR, DICOM, RIS/PACS, EMR webhooks, scheduling software), and production-grade code you'd be proud to put in a PR.
- Diagnose and resolve issues quickly: Support technical escalation during and after go-live. Use logs, workflow state, and system telemetry to diagnose problems at the code level and resolve them fast.
- Shape how Conductor evolves: Translate client friction into structured product feedback. Identify patterns across deployments that should drive platform decisions. What you learn in the field shapes how Conductor is built.
- Strengthen the platform as you go: Document what works. Contribute to integration libraries, shared tooling, and deployment runbooks that make future deployments faster and the platform more capable.
What We're Looking For:
- 4+ years of software engineering experience
- Some exposure to client-facing or production environments is a plus, but not required
- Solid full-stack engineering fundamentals: comfortable contributing to backend services, APIs, data pipelines, and integration layers
- Proficient in Python and/or TypeScript; able to write clean, maintainable, production-quality code
- Hands-on experience with AWS (ECS, Lambda, API Gateway, or similar)
- Experience building and debugging integrations against third-party APIs and data systems
- Experience with workflow orchestration engines (Step Functions, Cadence, Temporal, Prefect, or similar) is a strong plus
- You're an engineer first — your default response to a problem is to build a solution, not escalate it
- You use AI tools fluently as part of your daily engineering practice: Claude Code, Codex, Cursor, Copilot, or equivalent
- You thrive in environments where requirements are discovered through doing, not just scoping
- You communicate clearly and naturally with non-technical stakeholders, without losing engineering precision
- You hold yourself to a high bar on both code quality and client outcomes
Experience
Technical Skills
Ways of Working
Skills Required
- 4+ years of software engineering experience
- Solid full-stack engineering fundamentals (backend services, APIs, data pipelines, integration layers)
- Proficient in Python and/or TypeScript; able to write clean, production-quality code
- Hands-on experience with AWS (ECS, Lambda, API Gateway, or similar)
- Experience building and debugging integrations against third-party APIs and data systems
- Experience with healthcare data standards and systems (HL7 v2, FHIR, DICOM, RIS/PACS, EMR webhooks)
- Experience with workflow orchestration engines (Step Functions, Cadence, Temporal, Prefect, or similar)
- Some exposure to client-facing or production environment deployments
- Use AI coding tools fluently as part of daily engineering practice (Claude Code, Codex, Cursor, Copilot, or equivalent)
What We Do
At PocketHealth, we’re on a mission to empower every patient with instant access, control and understanding of their health records, while streamlining medical image sharing for healthcare providers. We’ve built an easy-to-use platform that ensures medical images get where they need to go, without relying on legacy image exchange systems, CDs or portals. By eliminating the need for networks, we seamlessly enable image exchange between any provider, patient or physician. And, by focusing on the patient experience & intelligently surfacing follow-up recommendations, we drive increased patient retention and satisfaction. We’ve raised over $55M of capital and are trusted by more than 1.5 million patients across 775 hospitals and imaging centers — including some of the largest health systems in North America. Learn more at pockethealth.com
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