SiftMed turns thousands of pages of messy medical records into a clear, source-linked account of what happened. Insurance claims teams, lawyers, life care planners, and independent medical experts use it to review a file in under 30 minutes instead of days. Behind every file is a person waiting on a decision about an accident or disability claim, and our job is to make sure that the facts that matter don't get missed.

Cuts medical record review time by 50–70%

John's, Newfoundland, with remote team members in Nova Scotia, New Brunswick, and Ontario. Four times a year, the whole company gets together outside the office for Boil-Up: a week of strategic planning and fun!

SiftMed is growing quickly, and our customers are asking for more: new use cases, bigger case files, and higher expectations for accuracy. We are looking for a senior engineer to help shape the platform for its next stage. It's a role with founding-engineer scope on a product that already has paying customers, and you'd work directly with the CTO on decisions that matter. Day to day, you'll move between UI, backend services, data pipelines, and cloud infrastructure.

Build reliable, event-driven pipelines that turn thousands of pages of medical records into structured, trustworthy output

Work directly with customers to understand what they actually need, and turn competing requests into one product that works for insurers, lawyers, and life care planners alike

You balance pragmatism with technical excellence, and you know which one a problem calls for

You're excited about AI tools and explicit-eyed about their limits. You own what ships, no matter who or what wrote it





You appreciate just enough process to ship well and no more

Own features from the customer problem through to production and monitoring, working directly with the CTO, VP Product, and our customers

Technical direction: As one of our most senior engineers, shape how the platform grows, from the document pipeline to AWS infrastructure and security. Help build the testing, release automation, and review habits that let a small team ship quickly and safely with AI coding tools

Help a team of 10 engineers grow through code review, pairing, and design feedback

5+ years building production web products across frontend and backend, including with React and Next.js

Used AI coding tools every day, with the judgment to know when the output isn't good enough

Improved how a team builds software (code review, testing, and mentorship)

Worked closely with customers or product to decide what to build, not just how to build it

It's a bonus if you:

Have shipped features built on LLM APIs (prompting, evals, cost, latency)

Have worked with sensitive data such as health, legal, or financial records

Have built document-processing or data-heavy pipelines

Have worked with AWS serverless and infrastructure-as-code (Lambda, Step Functions, Terraform or CloudFormation)





Have helped a startup grow through its next stage

Frontend: React and Next.js in TypeScript

NestJS REST API in TypeScript with Prisma; a public customer API that integrates with customers' systems

Data: MySQL per customer, a central PostgreSQL platform database, OpenSearch for search, S3 for documents

Pipelines: AWS Step Functions orchestrating Lambda and ECS tasks in TypeScript and Python for file preparation, classification, extraction, grouping and de-duplication

AI: Several LLMs through AWS Bedrock, chosen per step, with fallbacks; prompts and model configuration managed as data, not code

AWS ECS Fargate, Cognito, Terraform, CloudWatch; separate processing accounts per region (Canada and US)

Every PR gets its own production-like test environment, and Playwright and AI accuracy checks run there before review

GitHub, Linear and PostHog, plus Skipper, our internal agent that turns requests into draft PRs and picks up routine chores overnight

Intro chat with our CTO (Technical session with our CTO and Chief AI Officer (Bring your own setup and whatever AI tools you normally use. Peer interview with an engineer and a product manager (How you work with others and how you think about what to build: handling conflicting requests, pushing back on a spec, getting a feature from a customer conversation to production. We believe in trust and autonomy and therefore provide a flexible working environment.

We're committed to building an inclusive, diverse, and equitable team, and we welcome applicants of all backgrounds.

📌 Senior Product Engineering A (St. John's)
🏢 SiftMed
📍 St. John's