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    Online Software Engineer - Canada - Synapse International

    Synapse International
    Synapse International Canada

    4 days ago

    Default job background
    Description
    Join Anima, and you'll solve super interesting technical problems that will save lives.
    Millions die every year because their medical problems aren't treated quickly enough.

    I founded Anima because I was tired of breaking bad news to patients who later died, because they didn't get a great care plan quickly.

    We've built an ambitious 'Care Enablement Platform' to automate the entire healthcare workflow, starting with primary care - combining online consultation with productivity tools and a single source of patient data truth.

    Anima has next generation features like autogenerating coded clinical notes and patient comms, and a real time multiplayer dashboard with a Slack-like chat experience that supports 1000s of discussion channels per clinic.

    Since our launch and first pilot in March 2022, we're now used in dozens of clinics across the country, serving 100,000s of patients.

    We have never churned a clinic.
    We are pretty unique among health techs: we have both medical and engineering domain expertise.

    0, a tuned LLM coupled with a policy engine, that can output structured medical summaries, potential differential diagnoses and management plans.

    As a doctor and former HM Treasury health policy advisor managing £4bn budgets in UK health spending, I'm a technical, product-focused CEO with full stack domain knowledge and personal experience of the problem we're solving.


    Everyone is technical with almost complete autonomy akin to 'Knights of the Round Table'.Over 80% of the product team are ex-technical founders, former CTOs. We also have many technical domain experts ('fullstack Clinical Engineers', ex-MDs) who are their own users.
    Everyone in product is technical at Anima and can write production code.

    When everyone is technical and make great decisions, it's much easier to stay on the same page & execute rapidly.

    Here are 3 concrete examples with specs and timelines (I'd be delighted to demo any of these to you):


    • 5, a semantic search enabled, global context aware LLM that can converse and answer any question about any patient in the clinic.
    • Alex, a clinical engineer, built 'Slack for medical teams', supporting 1000s of channels per organisation and a real time single source of truth for patient data, in 4 weeks, picking up a large set of new technologies on the way (ground up built from low-level services like Appsync, GraphQL, not Twilio).
    • Dennis built a lightning fast cloud document library for clinics in a few days, with If high growth delta and joining an elite scrappy crew is your priority, you're gonna love it here.

    Hungry and wants their shot to change the world - a force of nature when empowered with the tools, resources and development to do it.

    Obsessively concerned with UX, and optimises for this when building features rather than arbitrary technical goals.


    • impatient for growth towards a senior executive role.
    • Expert competency in TS, and reasonably tech + language agnostic. Comfortable with key frameworks/libraries like Angular, Node and React. Able to work full stack in JS/TS. Disciplined towards best practice version control, CI/CD and code extensibility. Exceptional at 'breadth-first search' through Googling when tackling new challenges, and consistently mindful of local maxima.
    • Intellectually curious with a growth mindset - able to tackle entirely novel challenges that lack prior precedent through applying strong CS fundamentals and first principles thinking, creatively using the right data structures & algorithms to solve problems 90/10.
    • We don't enforce any particular experience level, but you'll need to demonstrate most of the above through past projects and/or our assessment process.

    We're constantly looking to maximise our productivity and minimise what we call "discounted dev time cost" for shipping features.

    We have 2 separate fully functional web apps in prod:
    one for clinical users and one for patients.

    Our stack is currently entirely in JS/TS:

    Angular + Capacitor + Electron, React (internal tools), Amplitude (analytics), a fully serverless backend in AWS (Cognito, Appsync GraphQL, Lambda, DynamoDB).

    We have good functional & unit test coverage and CI/CD.

    Our stack is in a great place already: highly scalable, cost effective, good test coverage, easily maintained, secure and performant with minimal to zero Ops.

    We write, test, deploy & ship new features rapidly.

    Strategically, we prioritise strong frontend-backend decoupling through GraphQL and strong modularisation of frontend and backend into hierarchical pure modules, with high abstraction internal services and helpers, allowing ephemeral lances (similar to 'squads') to work on functional modules without needing to understand or be overly concerned about other parts of the codebase.

    Help add further key third party API integrations, including with legacy EMR systems and national APIs like e.g. the electronic prescribing service, allowing Anima to directly issue prescriptions.

    Iterate on a proprietary graph traversal algorithm to improve patient care and clinical value, and increasingly move away from explicit curation to implicit curation by NNs.

    Ship important features that will directly increase delta lives saved in your first 2 weeks.


    • Help architect and deploy a scalable & cost effective ETL data pipeline with version control, outputting clean data ready for tokenisation.
    • Help deploy our active deep learning training & validation architecture to prod, so that we can correctly eat up our '1.Build cutting edge products like global context aware chat with semantic search, care orchestration and LLM-enabled cloud telephony e2e
    • Hire/scale the team, while implementing the right processes at the right times to maximise discounted team productivity and minimise discounted dev time cost for shipping.
    Potential to transition to a more managerial/executive role. Lead an autonomous lance of elite engineers to fix healthcare and save lives.


    • Work with the ML/data team to creatively ideate and ship features to improve ETL pipeline throughput and quality through a data-driven approach powered by analytics.
    • This is a permanent role: things get even more exciting down the line
    #
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