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Senior Backend Software Engineer (Healthcare Tech) - Fully Remote

Remote
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Join a fast-growing health tech startup shaping a scalable backend platform for NHS contracts, connecting healthcare systems, APIs, and bioinformatics pipelines. Design production-grade systems in Node.js/TypeScript, ensure reliability, security, and compliance for patient-facing workflows. Lead projects from design to production with a product mindset in a remote-first environment.

Key Highlights
Build and scale production-grade backend systems in Node.js and TypeScript for healthcare workflows
Own end-to-end projects with a focus on reliability, security, and compliance for real patients/clinicians
Collaborate with engineering, product, design, and medical teams in a fast-paced startup environment
Key Responsibilities
Design and build scalable backend systems and APIs for healthcare workflows
Develop production-grade systems in Node.js and TypeScript with a focus on reliability and compliance
Take ownership of projects from initial design through to production deployment
Improve security, testing, and overall platform reliability for patient-facing applications
Collaborate closely with engineering, product, design, and medical teams
Technical Skills Required
Node.js TypeScript API and distributed systems
Benefits & Perks
£80,000 to £90,000 annual salary plus equity and options
Unlimited holiday
Private health insurance
Pension
Parental leave
Nice to Have
AWS
Infrastructure as Code
Event-driven architecture
NoSQL databases
Healthcare standards (HL7, FHIR)
Regulated software experience

Job Description

Senior Backend Software Engineer

£80,000 to £90,000 plus equity and options

Fully remote. Applicants must be based in the UK, Ireland or Serbia.

Most backend roles are the same system with a different logo on it. This one involves connecting labs, healthcare systems, APIs and bioinformatics pipelines into workflows that have to be reliable, compliant, and right first time, because the output goes to real patients and real clinicians.

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