Senior Full-Stack Engineer

Position Overview

Realize Medical is seeking a Senior Full-Stack Engineer to own the server and web systems behind Elucis, our FDA-cleared VR surgical planning platform. You will run our production services and design the new ones we build next. This is an ownership role: you will be accountable for architecture, security, and operations across the whole server side.

Key Responsibilities

• Own and operate our production web platform and cloud services.
• Lead security hardening and maintain compliance evidence.
• Design and build new server and web services that connect with our VR, desktop, and mobile apps.
• Integrate with hospital IT environments, including enterprise single sign-on.
• Review backend designs across the team and record technical decisions.

Qualifications

• 5+ years building and operating production services that hold sensitive user data
• Sound judgement in evaluating and choosing the right technology stack for the problem
• Experience developing and deploying on-premise server software in customer environments
• AWS operations experience (ECS, Lambda, IAM)
• Authentication and SSO integration (OIDC, SAML, Active Directory)
• Experience working under a compliance regime such as SOC 2, HIPAA, or ISO 13485
• Daily use of AI coding agents such as Claude Code
• Web front-end development experience
• Experience with 3D rendering in the browser (three.js, WebGL, or Unity WebGL) is a strong asset
• Experience with medical imaging, DICOM, or regulated medical software is a bonus