Job Description

Toast is recruiting on behalf of a fast-growing health technology company operating in the primary care SaaS space. The company serves independent physician practices across North America, providing a cloud-based clinical platform that helps doctors manage patient care more effectively. With a fully remote engineering team and a clear mission to improve outcomes for both physicians and patients, this organization is at an exciting inflection point, actively building AI-driven product experiences into the core of their platform. This is a Staff Software Engineer role sitting at the intersection of clinical technology and applied AI.

Responsibilities

Design, build, and maintain AI-powered features within a full-stack web application used daily by physicians and their care teams.
Take ownership of features end-to-end, from system design and architecture through deployment and production support.
Partner closely with Product and UX to scope and prioritize new capabilities, translating complex technical constraints into clear, actionable plans.
Contribute to and shape the technical direction for AI-native product experiences across the platform.
Participate in code reviews, mentor other engineers, and actively contribute to improving team practices and engineering culture.
Collaborate with support and infrastructure teams to triage and resolve production issues quickly.
Deliver measurable improvements to physician workflows and patient outcomes through the software you build.

Requirements

5 or more years of professional software development experience, with a track record of delivering high-quality software.
Demonstrated ability to build and maintain APIs using modern backend technologies.
Strong communication skills, with the ability to explain complex technical problems clearly to both technical and non-technical collaborators.
Genuine enthusiasm for building systems that incorporate AI and large language models.
Experience with Python and MySQL on the backend is a strong asset.
Familiarity with a modern JavaScript framework such as React or Angular is an asset.
Experience deploying and operating systems on AWS or other cloud infrastructure is an asset.
Prior exposure to the US healthcare industry or health tech is a plus but not required.

Benefits

Base salary of $170,000 to $200,000 USD per year, or $185,000 to $215,000 CAD per year, depending on location and experience.
Work on technology that directly affects the quality of care that patients receive and the day-to-day experience of physicians running independent practices.
The AI features you build will be used in real clinical workflows, meaning your work has a direct and traceable impact on healthcare delivery.
Genuine engineering autonomy, meaningful product ownership, and the opportunity to help define how AI gets applied in one of the most consequential industries in the world.
A committed, inclusive team that welcomes candidates from all backgrounds.