Senior Software Engineer

Senior Software Engineer — Full-stack Type Script, real clinical stakes, AI as a first principle. London, hybrid.

Healthcare is best delivered in the home. A fast-growing healthtech company is building the technology that makes it possible at scale — optimising complex scheduling for community nurses and automating every non‑clinical touchpoint. 400+ practitioners, c.30K appointments delivered, and algorithms that reduce the cost of at‑home visits by c.35%. New international markets on the roadmap, strong investor backing.

• Design and build product features end‑to‑end — from first principles to production.
• Architect and implement AI‑powered workflows: scheduling optimisation, practitioner dispatch, clinical data enrichment, and agentic referral automations.
• Own the full delivery lifecycle — frontend, backend, infrastructure, CI/CD, and testing.
• Build and maintain the APIs, services, and data models that underpin clinical operations.
• Contribute to architecture decisions as we scale to NHS Trusts across the UK and new markets.
• Expect to use agentic coding tools (Claude Code, Cursor) fluently as part of the default workflow.

• 6+ years building and owning production software in fast‑moving environments.
• Genuine full‑stack capability — care about and can own the whole system.
• Active, fluent use of AI coding tools (Claude Code, Cursor) as default workflow.
• Experience making data‑sensitive engineering decisions — PII, schema flexibility, audit requirements.
• A track record of shipping under ambiguity.
• Judgement on when to move fast and when to slow down.
• Able to commute to central London for in‑person time.

Experience in regulated environments, background building agentic or multi‑step AI workflows, familiarity with NHS data standards or FHIR, GCP experience.

• React
• Next.js
• Type Script
• Node.js
• PostgreSQL
• GCP
• Git Hub
• CI/CD
• Claude Code
• Cursor