We’re an industry-leading health technology company on a mission to help people get better. We started in 2011 with one simple idea. Make it easier for practitioners to access the products they trust so they can deliver better care.

That simple idea grew into a platform that powers every part of care. Today, more than 125,000 practitioners use Fullscript for clinical insights, lab interpretations, patient analytics, education, and access to high-quality supplements. Over 10 million patients rely on Fullscript to stay connected to their care plans and follow through on treatment.

We build tools that make care smarter and more human. Tools that save time, simplify decisions, and help practitioners stay closely connected to the people they care for. When everything they need is in one place, they can focus on what matters most: helping people get better.

Bring your ideas, your grit, and your care for people.

Join us and shape the future of care.

The Role

Fullscript is looking for a Senior Fullstack Engineer to join a brand new Canada-focused pod.

This team is being created to help grow Fullscript’s business in Canada by building revenue-driving features for the Canadian market and extending high-value capabilities that already exist in the US into Canada.

As the founding engineer on the team, you will play an outsized role in shaping both the product and the way the team works. You will help define technical direction, partner closely with cross-functional stakeholders, and establish a high bar for quality, ownership, and pragmatic execution from the ground up.

This is a fullstack role. We’re looking for someone who is comfortable building backend systems and user-facing product experiences, and who can move between business logic, APIs, data flows, and frontend implementation as needed.

• Help establish the technical foundation for a new Canada pod, including architecture, engineering practices, and delivery approach.

• Extend and adapt existing US-supported capabilities for the Canadian market, including changes across frontend experiences, backend systems, business logic, and operational workflows.
• Partner with Product, Design, Data, Finance, Operations, and engineers across Fullscript to translate business opportunities into practical technical solutions.
• Work across the stack to deliver maintainable, observable, and scalable solutions.
• Contribute to solution design, rollout planning, and measurement of business impact.
• Write high-quality code, contribute to technical improvements, and maintain strong quality standards.

• Help create a strong team culture by modeling ownership, collaboration, and thoughtful technical judgment.

• Make build vs adapt decisions to shape how the Canada platform evolves.

• You are a strong fullstack software engineer who takes pride in building high-quality, maintainable systems and product experiences.

• You have experience with our tech stack: Ruby or Ruby on Rails and React and are comfortable building user-facing product experiences and backend services.
• You are comfortable working with APIs and application layers such as GraphQL.
• You write automated tests and understand their value in safe, continuous delivery.
• You work well in ambiguity and can help create structure in a new or evolving team.
• You are comfortable taking ownership beyond implementation, including helping shape technical direction, delivery strategy, and tradeoff decisions.

• You are highly data-driven, and you use business and product signals such as conversion, average order value, and revenue growth to guide decisions and evaluate impact.

• You communicate clearly and collaborate well with cross-functional partners.

• Experience as an early engineer or founding engineer on a new team, product area, or market expansion effort.

• Experience in health tech or other trust-sensitive domains.

• Ability to work Wherever You Work Well*
• Flexible Paid Time Off program
• Fullscript’s RRSP match program
• Stock Options
• Custom benefits package (medical, dental, vision) with HSA
• Discount on Fullscript catalog of products for family & friends
• Training budget and company-wide learning initiatives
• Employee Wellness Programs (including no meeting Wednesday)

• Our Wherever You Work Well philosophy means Fullscript teammates get to pick their own office - whether that’s in-office, at home, or a bit of both \uD83D\uDC36\uD83C\uDFE1

Great work happens when people feel supported, trusted, and inspired. At Fullscript, we stay curious and keep finding smarter ways to make care better. We grow together, take on new challenges, and focus on impact. We put people first, work as a team, and leave egos at the door.

We’re grateful for the interest in joining Fullscript. To make sure your application reaches our hiring team, please apply directly through our careers page.

A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly.

Fullscript is an equal opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request at accommodations@fullscript.com.

All offers are contingent on successful background checks conducted in compliance with federal, state, and provincial laws.

We use AI tools to support parts of the hiring process, including screening and reviewing responses. Final hiring decisions are always made by people and follow all applicable privacy and employment laws in Canada and the U.S.

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Let’s make healthcare whole