{"jobs":[{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4692967005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4434301005,"location":{"name":"Vancouver, BC"},"metadata":null,"id":4692967005,"updated_at":"2026-05-13T14:41:50-04:00","requisition_id":"112","title":"Accounting Manager","company_name":"Synthesis Health","first_published":"2026-05-13T14:41:50-04:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission and values driven company with tremendous dedication to our customers. Our 100% remote team, spread across the US and Canada, is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Synthesis Health is looking for a detail-oriented and organized Accounting Manager to manage the bookkeeping and accounting transactions at Synthesis Health. The Accounting Manager will report to the Vice President of Financial Operations but work with the People and Culture team to manage the payroll and state registration processes.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities:\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Accounting Management\u0026lt;/strong\u0026gt;\u0026lt;em\u0026gt;\u0026amp;nbsp;\u0026lt;/em\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Prepare accurate financial statements, ensuring compliance with IFRS accounting standards and company policies.\u0026amp;nbsp;\u0026lt;/strong\u0026gt;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Reconcile various General Ledger accounts and appropriate sub-ledgers.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Compiles and analyzes financial information to prepare journal entries to general ledger accounts documenting business transactions.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Manage day-to-day accounting activities, including accounts payable/receivable, and financial reporting.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Preparation of balance sheet reconciliations.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Work with the FP\u0026amp;amp;A on customer invoices.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Timely close monthly financials in accordance with the reporting schedule.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Ensure accurate and timely management of company accounts and financial transactions.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Remits tax payments and prepares government filings.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Oversee and manage audit process, ensuring timelines are met.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Build a robust system of controls, ensuring total confidence in transparent and honest financial systems.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Payroll Processing\u0026lt;/strong\u0026gt;\u0026lt;em\u0026gt;\u0026amp;nbsp;\u0026lt;/em\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Processes biweekly payroll.\u0026amp;nbsp;\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Remits payments to benefit carriers and HR vendors.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Registers states and provinces for the appropriate tax filings. \u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Prepares 1099 contractor forms.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Assists with HR vendor, preparation of T4 and W2 forms for Synthesis employees.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Right Candidate\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;The ideal candidate will be able to work in a fast-paced environment and juggle multiple projects with overlapping deadlines. You will be an excellent communicator with good interpersonal skills and to work with individuals from diverse backgrounds.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Qualifications\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Bachelor’s degree in accounting, finance, business administration or related field.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Five years\u0026#39; experience in accounting operations.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Demonstrated experience managing payroll processing.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Must have experience with IFRS accounting standards.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Experience working in a SaaS company or healthcare company.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;You will adhere to our company’s values and behaviors and incorporate them in your interactions with colleagues and customers.\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Values:\u0026amp;nbsp;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ol\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first. 2. Collaborate with our customers. 3. Listen, respect, learn. 4. Innovate to excel.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ol\u0026gt;\n\u0026lt;p\u0026gt;Behaviors:\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;ol\u0026gt;\n\u0026lt;li\u0026gt;Be nice. 2. Be creative. 3. Be honest. 4. Be helpful.\u0026amp;nbsp;\u0026lt;/li\u0026gt;\n\u0026lt;/ol\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Compensation is paid in the currency of the country where the individual is hired. For this position, the salary range is $90,000-$110,000 CAD for Canadian candidates and commensurate on experience. For candidates outside of Canada, the salary will be calculated based on local salary markets.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include but not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;","departments":[{"id":4097734005,"name":"Finance Administration","child_ids":[],"parent_id":null}],"offices":[{"id":4000765005,"name":"Vancouver","location":"Vancouver, British Columbia, Canada","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4701886005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4438711005,"location":{"name":"Charleston, West Virginia"},"metadata":null,"id":4701886005,"updated_at":"2026-06-02T13:30:00-04:00","requisition_id":"113","title":"IT Security Engineer (L3)","company_name":"Synthesis Health","first_published":"2026-06-02T13:30:00-04:00","language":"en","application_deadline":null,"content":"\u0026lt;h1\u0026gt;IT Security Engineer\u0026lt;/h1\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;h4\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/h4\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;This is a high-impact, high-autonomy role at the center of our IT and security operations. As our IT Security Engineer, you\u0026#39;ll own the day-to-day administration and ongoing maturation of a modern Microsoft 365 E5/E7 environment supporting a fully remote healthcare SaaS company. You\u0026#39;ll be the primary technical hand across identity, endpoints, security tooling, and compliance evidence generation, working directly on the systems that keep our clinical AI platform secure and our five compliance frameworks audit-ready. This is a small-team environment where you\u0026#39;ll have real ownership and the latitude to improve, automate, and architect rather than just maintain. If you want your decisions to matter and your work to be visible, this is the role you have been searching for.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;End-user IT support: first point of contact for the company across Microsoft 365, identity, devices, SaaS access, and general technology issues, with ownership of the internal support queue\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Endpoint administration across macOS and Windows: Intune compliance and configuration policies, application deployment, endpoint DLP, OS update management\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Entra ID operational ownership: Conditional Access lifecycle, group and license hygiene, access reviews, PIM\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Purview, Sentinel, Defender, and Global Secure Access: ongoing tuning, alert triage workflows, evidence pipelines, secure access policy management\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Automation and integration: building and maintaining workflows across our SaaS estate using APIs, webhooks, and appropriate tooling\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Joiner-mover-leaver execution and the tooling that supports it\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Compliance evidence generation and audit support across our compliance frameworks\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;SaaS administration hygiene: Vanta posture, app registrations, license reconciliation\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Identifying opportunities to improve, replace, or consolidate our existing tooling\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Sentinel: KQL, data connectors, analytics rules, workbook authoring, cost management\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Purview hands-on: DLP, sensitivity labels, retention, eDiscovery\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Defender XDR: Defender for Endpoint, Defender for Office 365, Defender for Cloud Apps\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;macOS administration: configuration profiles, shell scripting (bash, zsh)Experience operating in a one-person or small-team IT environment, with the prioritization judgment that comes from it.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Microsoft 365 E5 or E7 license tier experience specifically\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Security Copilot exposure\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Global Secure Access: Internet Access, Private Access, traffic forwarding profiles\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;macOS administration at depth: declarative device management, Platform Single Sign-On\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;GCP IAM exposure: Workload Identity Federation, org policies, IAM roles and bindings\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Vanta or comparable GRC automation tooling\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Enterprise password management administration\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;HITRUST CSF i1 or r2 familiarity\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;ISO 27017 and ISO 27018 cloud-specific control familiarity\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;SCIM provisioning experience across multiple SaaS applications\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Self-hosted automation platform experience including deployment, upgrades, and monitoring\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Microsoft Graph PowerShell SDK at an advanced level: app-only authentication, custom Entra app registrations\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Conditional Access policy design at scale, including structured policy taxonomies\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Azure VM and Docker Compose administration\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;SharePoint Online administration and Viva Connections\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Apple Business Manager and Automated Device Enrollment workflows\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Windows Autopilot deployment experience\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Experience supporting a SOC 2 Type II or ISO 27001 Stage 2 audit as the named technical owner.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Define the Architecture: You won\u0026#39;t just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$105,000 - $125,000\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;em\u0026gt;Synthesis Health is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.\u0026lt;/em\u0026gt;\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4002611005,"name":"Houston","location":"Houston, Texas, United States","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4649713005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4413997005,"location":{"name":"Houston, TX"},"metadata":null,"id":4649713005,"updated_at":"2026-03-31T12:31:59-04:00","requisition_id":"105","title":"Principal Platform Engineer","company_name":"Synthesis Health","first_published":"2026-01-14T16:35:32-05:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are looking for a Principal Platform Engineer to serve as a hands-on architect of our system’s evolution. In this role, you will tackle our most substantial engineering challenges: ensuring the reliability, performance, and scalability of our distributed systems while driving the maturation of our technical stack.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;This is a leadership role for a hands-on technical visionary. You will focus on solving deep, structural problems in the overall system to achieve 99.99% reliability and massive scalability. You will drive key maturation issues regarding our architecture, identifying the critical path for eliminating bottlenecks, reducing complexity, and enabling our engineering teams to ship faster with greater confidence. As a key voice on the Architecture Review Board (ARB), you will shape the technical direction of the entire organization.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;If you are an expert in high-scale distributed systems and have the scars and success stories to prove it, this is your chance to build a legacy.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;System Reliability, Performance, \u0026amp;amp; Scalability\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Substantial System Challenges: You will identify and lead the resolution of the most complex, systemic problems affecting our platform\u0026#39;s stability and speed.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Architect for Scale: You will design the strategies that allow our system to handle exponential growth, focusing on database scaling, caching architectures, and asynchronous processing throughput.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Reliability Engineering: You will define and drive the adoption of patterns that ensure system resilience, including circuit breaking, graceful degradation, and active-active failover strategies.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Stack \u0026amp;amp; Architecture Maturation\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Drive Technical Evolution: You will lead the maturation of our technical stack, ensuring our libraries, frameworks, and infrastructure choices evolve to meet future business needs.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Eliminate Structural Bottlenecks: You will look beyond code-level optimization to solve structural issues in our database layer, messaging infrastructure, and deployment pipeline.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Technical Governance: As a senior leader on the ARB, you will enforce architectural rigor, preventing the introduction of new technical debt while establishing standards for long-term maintainability.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Strategic Leadership \u0026amp;amp; Influence\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Cross-Organizational Impact: You will influence the technical direction across multiple product areas, reconciling conflicting architectural goals to serve the broader business.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Elevate the Platform: You will mentor Staff and Senior engineers, helping them understand distributed consensus, eventual consistency, and the trade-offs of complex distributed systems.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Elite Distributed Systems Experience: 10+ years of software engineering experience, with a heavy focus on designing, optimizing, and operating high-scale distributed systems.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Architectural Evolution: You have a proven track record of evolving complex systems and driving technical maturity in a fast-paced environment.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Language Fluency \u0026amp;amp; Strategy: Deep expertise in TypeScript/Node.js is required. As we pivot performance-critical paths toward Go, experience leading similar language transitions or strong Go proficiency is highly desirable.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Deep Technical Mastery:\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Expertise in defining Service Level Objectives (SLOs) and Error Budgets.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Deep knowledge of synchronous (Websockets, gRPC, REST) vs. asynchronous (Kafka/PubSub) communication patterns.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Advanced database design patterns (sharding, partitioning, CQRS).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Expertise in container orchestration (Kubernetes) at scale.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Visionary Leadership: You can identify critical long-term technical challenges months or years in advance and mobilize the organization to address them.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Communication at Scale: You can effectively communicate the business value of architectural investments to executive leadership while diving deep into the code with engineers.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Healthcare Domain Experience: Experience in healhtech or regulated industries is a plus.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Compliance \u0026amp;amp; Standards: Deep familiarity with healthcare data standards (DICOM, HL7, FHIR) and compliance regulations (HIPAA) is a significant advantage.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;High-Performance Database Tuning: Deep experience tuning PostgreSQL or similar relational databases for massive concurrency.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Breaking Up The Monolith: Experience migrating a monolithic database architecture to microservices is a plus.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Define the Architecture: You won\u0026#39;t just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, meaningful equity, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$170,000 - $205,000\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;em\u0026gt;Synthesis Health is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.\u0026lt;/em\u0026gt;\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4002611005,"name":"Houston","location":"Houston, Texas, United States","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4649696005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4413989005,"location":{"name":"Houston, TX"},"metadata":null,"id":4649696005,"updated_at":"2026-03-31T12:31:59-04:00","requisition_id":"104","title":"Principal Platform Engineer, Medical Data","company_name":"Synthesis Health","first_published":"2026-01-14T16:36:00-05:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are looking for a Principal Platform Engineer to serve as the key steward and architect of our medical data domain. In this role, you will own the integrity of our logical data model, ensuring that every service we build and every integration with customer systems preserves the accuracy and fidelity of our patient data.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Your primary focus will be on the interaction between our services and our data. You will define the patterns that allow our systems to interact with complex medical data structures in the most elegant, flexible, and performant way possible. You will act as the guardian of our domain model, ensuring that as we scale, we never compromise on data correctness or structural coherence.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;This is a leadership role for a hands-on technical visionary. You will solve deep, structural problems regarding data consistency and interoperability. As a key voice on the Architecture Review Board (ARB), you will be the ultimate gatekeeper for decisions involving the data model, ensuring that our architecture evolves to support new clinical capabilities without accruing technical debt.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;If you are an expert in healthcare data standards and modern cloud engineering, this is your chance to build a legacy.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Medical Data Strategy \u0026amp;amp; Domain Integrity\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Domain Model Stewardship \u0026amp;amp; Service Interaction: You will define and enforce the integrity of our logical data model. You will architect the patterns for how all internal services and external integrations interact with this model, ensuring data accuracy and structural flexibility are preserved across the entire platform.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;High-Throughput Ingestion Architecture: You will architect and optimize our ingestion pipelines to handle massive bursts of DICOM images and HL7 messages without latency or data loss.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Standards \u0026amp;amp; Interoperability: You will lead the strategy for FHIR, HL7, and DICOM interoperability, ensuring our platform speaks the language of modern healthcare fluently.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Compliance \u0026amp;amp; Security by Design\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Automate Compliance: You will design systems that enforce HIPAA, ISO 27001, and SOC2 requirements at the infrastructure and code level. You will build \u0026quot;compliance as code\u0026quot; to ensure audit readiness without manual toil.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Data Governance: You will define the patterns for data residency, retention, and deletion, ensuring we meet strict legal and contractual obligations across global deployments.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Architectural Leadership \u0026amp;amp; Influence\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Systemic Data Consistency: You will solve hard problems regarding distributed data consistency, helping us move away from tight coupling while ensuring data correctness across services.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Elevate the Platform: You will be the subject matter expert (SME) for healthcare data within the engineering organization, mentoring Staff and Senior engineers on the nuances of medical data standards and distributed data patterns.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Deep Healthcare Data Expertise: 10+ years of engineering experience with a specific focus on healthcare data. You are an expert in DICOM (tags, transfer syntaxes, WADO/QIDO) and HL7/FHIR.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Scale \u0026amp;amp; Performance: Proven track record of building data pipelines that handle terabytes of medical imaging data. You understand the specific storage and retrieval challenges of pixel data vs. metadata.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Language Fluency \u0026amp;amp; Strategy: Deep expertise in TypeScript/Node.js is required. As we pivot performance-critical paths toward Go, experience leading similar language transitions or strong Go proficiency is highly desirable.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Deep Technical Mastery:\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Deep expertise in schema design for both SQL (PostgreSQL) and NoSQL environments.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Experience with data lakes and warehousing (BigQuery/Snowflake) in a healthcare context.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Experience with stream processing (Kafka/Dataflow) for real-time DICOM and HL7 feeds.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Expertise in container orchestration (Kubernetes) at scale.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Compliance expertise: You have built systems that are HIPAA/GDPR compliant from the ground up and understand the technical implications of PHI (Protected Health Information) protection.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Communication at Scale: You can effectively communicate the business value of architectural investments to executive leadership while diving deep into the code with engineers.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Imaging Physics Knowledge: Understanding of the physics of medical imaging (CT, MRI, X-Ray) and how it impacts data storage and rendering.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;AI/ML Pipeline Experience: Experience architecting data flows that feed AI models for clinical decision support.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;PACS/VNA Architecture: Experience architecting or operating Picture Archiving and Communication Systems (PACS) or Vendor Neutral Archives (VNA).\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Define the Architecture: You won\u0026#39;t just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, meaningful equity, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$170,000 - $205,000\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;em\u0026gt;Synthesis Health is an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.\u0026lt;/em\u0026gt;\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4002611005,"name":"Houston","location":"Houston, Texas, United States","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4649746005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4414019005,"location":{"name":"Vancouver, BC"},"metadata":null,"id":4649746005,"updated_at":"2026-03-31T12:31:59-04:00","requisition_id":"109","title":"Sr. Platform Engineer ","company_name":"Synthesis Health","first_published":"2026-01-14T16:34:05-05:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are looking for an experienced Sr. Platform Engineer to help build the next generation of our cloud-native healthcare platform. You will be a key technical contributor, responsible for designing, building, and owning critical components that form the backbone of our systems. You will focus on improving the scalability, performance, and reliability of our services, enabling our product teams to deliver innovative features to our customers faster and more securely.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;If you are a builder who thrives on solving complex distributed systems problems, enjoys mentoring others, and wants to make a significant impact on healthcare, this is the perfect opportunity for you.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Design and Build Core Platform Services: \u0026lt;/strong\u0026gt;Design, develop, and maintain scalable, resilient, and secure platform components and microservices that are critical to project success and product capabilities.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Drive Performance and Reliability: \u0026lt;/strong\u0026gt;Promote and implement best practices for observability, monitoring, and performance testing. You will analyze and optimize application-level performance for our critical workflows, ensuring they meet strict uptime and speed requirements.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Improve System Architecture: \u0026lt;/strong\u0026gt;Contribute to the analysis of our platform architecture, helping to identify performance bottlenecks, improve data and caching flows, and simplify architectural complexity.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Elevate Code Quality: \u0026lt;/strong\u0026gt;Write clean, maintainable, and well-tested code for core platform services. You will set a high standard for code quality and testing within the team by leading design reviews and providing constructive feedback.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Lead with Technical Expertise and Mentorship: \u0026lt;/strong\u0026gt;Formally or informally mentor junior engineers, helping to level up the team through code reviews, knowledge sharing, and hands-on guidance. You will significantly influence your team\u0026#39;s technical direction and decisions.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Create Excellent Documentation: \u0026lt;/strong\u0026gt;Produce clear, high-quality architectural diagrams and technical documentation for the components you own, contributing to the team\u0026#39;s shared knowledge base.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Experience in Distributed Systems\u0026lt;/strong\u0026gt;: 5+ years of software engineering experience with a strong track record of designing, building, and operating scalable and high-performance services.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Strong Architectural and Design Skills\u0026lt;/strong\u0026gt;: You can independently tackle complex technical challenges within your domain, architecting robust solutions and making sound technical trade-offs with minimal guidance.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Performance and Debugging Expertise\u0026lt;/strong\u0026gt;: You have hands-on experience instrumenting and debugging performance issues across a full stack—from application code and databases to caching layers and infrastructure—using modern performance profiling and monitoring tools.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Hands-On Expertise with Modern Tech Stacks\u0026lt;/strong\u0026gt;: You have practical knowledge of the principles and technologies behind our platform:\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Microservices, event-driven design, and distributed architectures.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Cloud platforms (GCP preferably), with hands-on experience in Docker and Kubernetes (e.g., GKE, Cloud Run).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Expertise across relational and NoSQL databases (e.g., PostgreSQL/AlloyDB, MongoDB, Redis) and data warehousing (e.g., BigQuery).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Real-world experience with Pub/Sub messaging systems (e.g., Google Cloud Pub/Sub, Kafka).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Statically typed languages (e.g., TypeScript, Go, C/C++, Java, Rust).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Gitflow branching model.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Clarity in Communication\u0026lt;/strong\u0026gt;: You can clearly articulate complex technical ideas to both technical and non-technical stakeholders. Your diagrams and documents are a source of clarity.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;\u0026lt;strong\u0026gt;Leadership Through Influence\u0026lt;/strong\u0026gt;: You have a demonstrated ability to influence your team\u0026#39;s technical direction, driving consensus, and elevating the bar for engineering excellence.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Healthcare Domain Experience: While engineering excellence is paramount, your application will stand out if you have experience in regulated industries. Deep familiarity with healthcare data standards (DICOM, HL7) and compliance regulations (HIPAA) is a significant advantage.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Challenging Problems: This is a high-leverage role. You will be working on impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Build the Future of Healthcare: You won\u0026#39;t just be maintaining a system; you will be a primary builder of its future state, with the autonomy to own major components.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Make a Major Impact: This is a chance to establish yourself as a key technical voice on a team that is transforming healthcare.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, meaningful equity, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ol\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ol\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ol\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ol\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$85,000 - $110,000\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4000765005,"name":"Vancouver","location":"Vancouver, British Columbia, Canada","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4649740005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4414018005,"location":{"name":"Vancouver, BC"},"metadata":null,"id":4649740005,"updated_at":"2026-03-31T12:31:59-04:00","requisition_id":"108","title":"Staff Data Engineer","company_name":"Synthesis Health","first_published":"2026-01-14T16:36:22-05:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are looking for a Staff Data Engineer who serves as the universal data architect for our platform.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;In this role, you will bridge the gap between application engineering and data infrastructure. You will possess a \u0026quot;big picture\u0026quot; understanding of our entire data ecosystem—OLTP, OLAP, NoSQL, and Relational. You will own the optimization of our high-volume data pipelines, but equally, you will tune the operational databases that power our services and design the warehousing strategies that drive our analytics.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;You will be the authority on data physics: defining how we ingest massive bursts of medical information, how we model it for high-performance transactional locking, and how we transform it for analytical querying without friction.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;This is a high-leverage leadership role. You will set the standard for data engineering excellence, mentoring Senior engineers and defining the architectural patterns that keep our platform performant as we scale 100x and beyond.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Polyglot Data Architecture \u0026amp;amp; Performance\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Universal Store Optimization: You will be the ultimate authority on the performance of our persistent stores. You will tune AlloyDB (PostgreSQL) for complex transactions (OLTP), optimize NoSQL layers, and structure BigQuery for analytical speed (OLAP).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Prevent Congestion \u0026amp;amp; Latency: You will proactively identify and resolve \u0026quot;hot spots\u0026quot; in our data architecture. You will design strategies for sharding, partitioning, and active-archiving that ensure our operational systems remain lean while our analytical history grows indefinitely.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;High-Volume Pipeline \u0026amp;amp; Ingestion Strategy\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Ingestion at Scale: You will architect robust, backpressure-aware pipelines to handle high-throughput ingestion of HL7 and DICOM metadata. You will ensure our systems can absorb bursty traffic without degrading the user experience.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Stream \u0026amp;amp; Batch Convergence: You will design the flows that move data from operational stores to our data warehouse, ensuring freshness and consistency. You will determine when to use real-time streams versus batch processing to balance cost and latency.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Service Design \u0026amp;amp; Data Governance\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Define Data Contracts: You will act as a key voice on the Architecture Review Board (ARB), defining the \u0026quot;rules of the road\u0026quot; for how microservices interact with the data layer. You will enforce strict data contracts that decouple services from the underlying storage engine.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Mentorship: You will elevate the data engineering capabilities of the entire organization. You will mentor other engineers on advanced query optimization, data modeling (Star Schema vs. 3NF), and the nuances of distributed data consistency.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Elite Data Engineering Experience: 8+ years of experience designing and optimizing data-intensive applications. You have a track record of solving hard scaling problems across the entire data lifecycle.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Universal Data Fluency: You have deep expertise across the spectrum: Relational (AlloyDB/PostgreSQL internals, MVCC, locking), NoSQL (Document stores, Key-Value), and Warehousing (BigQuery/Snowflake internals, columnar storage).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Pipeline Proficiency: Expert-level knowledge of building and optimizing data pipelines using tools like Kafka/PubSub, Beam/Dataflow, or dbt. You understand how to handle late data, duplicates, and exactly-once processing.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Service \u0026amp;amp; System Design: You understand how data stores fit into a broader microservices architecture. You can design synchronous vs. asynchronous data access patterns that protect the database from application-layer thundering herds.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Coding Skills: Strong proficiency in Python, Java, SQL. You write clean, maintainable code for infrastructure and data transformation.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Performance Obsession: You have a proven ability to debug complex data performance issues, from tuning query execution plans and resolving lock contention to optimizing high-throughput ingestion pipelines for minimal lag.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Healthcare Data: Familiarity with the specific challenges of healthcare data (DICOM hierarchy, HL7 message structures) and compliance (HIPAA).\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Real-Time Analytics: Experience architecting real-time analytics dashboards or hybrid transactional/analytical workflows.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Migration Experience: Experience leading zero-downtime database migrations or major schema refactors in a 24/7 environment.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Define the Architecture: You won\u0026#39;t just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$120,000 - $150,000\u0026lt;/strong\u0026gt; \u0026lt;strong\u0026gt;(CAD)\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4000765005,"name":"Vancouver","location":"Vancouver, British Columbia, Canada","child_ids":[],"parent_id":null}]},{"absolute_url":"https://job-boards.greenhouse.io/synthesishealth/jobs/4649754005","data_compliance":[{"type":"gdpr","requires_consent":false,"requires_processing_consent":false,"requires_retention_consent":false,"retention_period":null,"demographic_data_consent_applies":false}],"internal_job_id":4414028005,"location":{"name":"Vancouver, BC"},"metadata":null,"id":4649754005,"updated_at":"2026-03-31T12:31:59-04:00","requisition_id":"107","title":"Staff Platform Engineer (Edge \u0026 Ingestion)","company_name":"Synthesis Health","first_published":"2026-01-14T16:36:35-05:00","language":"en","application_deadline":null,"content":"\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Synthesis Health\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Who We Are\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We’re a mission- and values-driven company with tremendous dedication to our customers. Our 100% remote team is dedicated to a common goal – to revolutionize healthcare through innovation, collaboration, and commitment to our core values and behaviors.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;About the Opportunity\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;We are looking for a Staff Platform Engineer to serve as the architect of our edge.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;In this critical role, you will own the boundary between the world and our platform. You will own the \u0026quot;Customer Edge\u0026quot;—the mission-critical software gateways that run inside hospital networks, acting as the secure bridge for DICOM and HL7 data into our cloud platform.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;You will solve unique distributed systems challenges: How do you buffer terabytes of imaging data on-premise when the hospital\u0026#39;s internet goes down? How do you safely auto-update thousands of remote agents behind strict enterprise firewalls? How do you enforce fairness and rate limiting to prevent one tenant from degrading the experience for everyone else?\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;This is a hands-on leadership role. You will write high-performance code, define the architectural patterns for edge ingestion, and mentor engineers on the nuances of network reliability and secure tunneling.\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Key Responsibilities\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Customer Gateway Architecture \u0026amp;amp; High Availability (HA)\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;On-Premise Gateway Reliability: You will architect our edge gateway software to run reliably within customer data centers. You will implement HA patterns to ensure that a single hardware failure never stops critical patient data flow.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;High-Performance Ingestion: You will optimize the ingestion path for massive DICOM studies and HL7 streams. You will implement local queuing and backpressure mechanisms that protect our core platform from being overwhelmed by \u0026quot;thundering herds\u0026quot; of data when connectivity is restored after an outage.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Versioning \u0026amp;amp; Fleet Management: You will design the control plane for our distributed fleet of gateways. You will solve the \u0026quot;Day 2\u0026quot; operations challenge: architecting automated, over-the-air (OTA) update mechanisms that allow us to patch, upgrade, and version-manage thousands of remote agents without manual intervention or customer downtime.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Cloud Ingestion \u0026amp;amp; Throughput Protection\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Resilient Ingestion Strategy: You will design the cloud-side ingestion layer (using technologies like Kafka or PubSub) to absorb massive bursts of traffic. You will ensure that our architecture can handle \u0026quot;thundering herds\u0026quot; from reconnected agents without dropping a single packet of patient data.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Load Shedding \u0026amp;amp; Fairness: You will implement sophisticated fairness algorithms and load shedding strategies at the ingestion point to ensure that no single customer gateway can monopolize cloud resources or degrade the performance of the broader platform.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;Network \u0026amp;amp; Connectivity Security\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Secure Tunnels: You will design the secure connectivity patterns (e.g., mutual TLS, reverse tunnels, VPNs) that allow our cloud to communicate with private hospital networks without requiring complex firewall exceptions.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Mentorship: You will be the subject matter expert (SME) on networking and edge computing. You will mentor the team on TCP/IP mechanics, TLS optimization, and low-level network debugging.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;What We’re Looking For\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Deep Edge \u0026amp;amp; Networking Experience: 8+ years of engineering experience, with a focus on Edge Computing or Distributed Agents. You understand the physics of the internet, from TCP congestion control to TLS handshakes.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Hybrid/On-Prem Expertise: You have shipped software that runs in customer environments (on-prem). You understand the constraints of enterprise firewalls, proxies, and limited bandwidth.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Language Fluency: Deep expertise in Go (Golang) or TypeScript is required.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Queuing \u0026amp;amp; Streaming: Expert-level knowledge of asynchronous architectures using Google Cloud Pub/Sub, Dataflow, or Kafka. Given our GCP environment, deep proficiency with Pub/Sub and Dataflow is highly preferred. You understand backpressure and how to design for eventual consistency.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Containerization: Experience distributing software via Docker/Kubernetes and managing container lifecycles in remote environments.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Preferred Qualifications\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Healthcare Interoperability: Deep, hands-on experience building integrations against DICOM (C-STORE, DIMSE services) or HL7 MLLP protocols. You understand the nuances of the association negotiation, transfer syntaxes, and strict acknowledgment requirements necessary to reliably accept data from legacy hospital systems.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Why You Should Join Us\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Solve Our Toughest Puzzles: This is a high-leverage role. You will be working on the most impactful technical challenges that are critical to the company\u0026#39;s success.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Define the Architecture: You won\u0026#39;t just be maintaining a system; you will be a primary author of its future state, with the autonomy to make it happen.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Lead from the Front: This is a chance to establish yourself as a key technical voice in a rapidly growing company.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Competitive Compensation \u0026amp;amp; Benefits: We offer a strong salary, a 100% remote culture, and significant opportunities for growth.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;We are a values-driven company. Our values:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Clinical service first.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Collaborate with our customers.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Listen, respect, learn.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Innovate to excel.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;The behaviors we look for:\u0026lt;/p\u0026gt;\n\u0026lt;ul\u0026gt;\n\u0026lt;li\u0026gt;Be nice.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be creative.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be honest.\u0026lt;/li\u0026gt;\n\u0026lt;li\u0026gt;Be helpful.\u0026lt;/li\u0026gt;\n\u0026lt;/ul\u0026gt;\n\u0026lt;p\u0026gt;\u0026lt;strong\u0026gt;Compensation and Benefits\u0026lt;/strong\u0026gt;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Typical salary range for this position is \u0026lt;strong\u0026gt;$120,000 - $150,000\u0026lt;/strong\u0026gt; \u0026lt;strong\u0026gt;(CAD)\u0026lt;/strong\u0026gt;. However, Synthesis participates in location based hiring and salary ranges can be adjusted based on candidate\u0026#39;s residence.\u0026amp;nbsp;\u0026lt;/p\u0026gt;\n\u0026lt;p\u0026gt;Other benefits include, but are not limited to: Medical, Dental, Vision, “Use as needed” vacation policy, and participation in our employee option program.\u0026lt;/p\u0026gt;","departments":[{"id":4097733005,"name":"Technology","child_ids":[],"parent_id":null}],"offices":[{"id":4000765005,"name":"Vancouver","location":"Vancouver, British Columbia, Canada","child_ids":[],"parent_id":null}]}],"meta":{"total":7}}