Product Manager

Location: Hybrid working, three days in the London office and two days remote. We consider alternative requests if this is not possible for you.

Office: 140 Borough High Street, London, SE1 1LB

Reporting
to: Head of Product (Aoife Barron, VP Product & Operations interim)

In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS.

These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.

Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.

As of May 2026, we have successfully reduced waits to 3 months by;

• Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
• Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families
• Investing in expanding the clinician workforce and upskilling them in new ways of working.

We are proud that Paloma is:

• Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
• Care Quality Commission (CQC) registered and quality-focused
• Clinically-led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
• A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches
• Backed by leading healthcare investors Triple Point and Heal Capital

• Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
• We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them

Why is this role different? Rather than building software for external companies, you are building our core software platform for our internal clinical and operations teams. This means your actions directly help children and families, as well as our clinicians and our operations team, so you can tangibly feel the benefit of your work every day!

As Product Manager, you’ll be a key member of the Product & Engineering team, driving the smooth delivery and ongoing optimisation of our platform and operational infrastructure. This role focuses on the "engine" of Paloma—the internal systems, booking platforms, third-party integrations, and automation orchestration that allow our clinical service to scale.

On a day-to-day basis, you will work closely with our engineering team and our wider product, clinical, and operations teams to execute and deliver our product initiatives. As Paloma continues to grow, we are formalising our Product & Engineering squads. You will be responsible for the health, rhythm, and output of your squad, leading agile ceremonies and ensuring that technical execution aligns perfectly with our operational needs.

You will be instrumental in maintaining high standards of product delivery, fostering clear communication, and driving continuous improvement in our development processes. You will have many growth opportunities, up to a senior manager role and beyond, as we scale.

• Work closely with clinical and operations teams to translate complex service requirements into scalable technical solutions.
• Write detailed user stories, acceptance criteria, and Product Requirement Documents (PRDs) for new features and system improvements.
• Conduct detailed discoveries with high-quality outputs.
• Analyse product performance metrics and gather user feedback for…