Senior/ Staff Software Engineer

About Healthtech-1

Healthtech-1 is revolutionizing access to NHS healthcare by creating technology that ensures the UK's largest healthcare provider is truly accessible. With patient satisfaction waning due to lack of access, the company is on a mission to build the frontline infrastructure for UK healthcare. Currently, 26% of GP practices in England and 20% in London use their patient registration and booking software. Their newest product, Bookable Navigator, automates booking appointments for existing patients. Operating from within a GP practice in East London, Healthtech-1 is supported by notable entities including Y Combinator, Innovate UK, and the NHS Clinical Entrepreneur Programme.

Company Values

• Care deeply
• Work hard
• Be your word
• Maintain radical truth and transparency
• Do your life's best work
• Find the fun

Role Overview

We are seeking a product-focused senior or staff full-stack software engineer with a backend emphasis who thrives on urgency and autonomy. The role involves collaborating across teams and working directly with customers to develop and scale impactful healthcare products.

Key Responsibilities

• Take full ownership of complex, ambiguous problems from conception to delivery
• Build and scale software products in collaboration with product and design teams
• Deliver highly performant, user-centric, and scalable solutions
• Influence the strategic direction of products beyond just implementation
• Ensure software resiliency and reliability, especially in distributed systems
• Contribute as a trusted voice across engineering, product, and design teams

Candidate Requirements

• Minimum 7 years of experience operating at a senior or technical lead level
• Entrepreneurial mindset or prior experience as a technical founder is highly regarded
• Experience working in early-stage startups or scale-ups, preferably within small, high-performing teams
• Strong commitment to exceptional user experience, simplicity, and iterative feedback
• Track record of raising both engineering and product quality standards
• Expertise in writing reliable, maintainable code that scales across environments
• Knowledge of distributed systems risks and failure mitigation
• Thrives in autonomous, accountable roles focused on impact

Technical Environment

• Full-stack development with a focus on backend, primarily using TypeScript or similar languages
• Designing and consuming scalable, well-structured APIs
• Working with production data systems and performance optimization
• Incorporating modern AI models into healthcare-related workflows
• Experience scaling products within complex, high-stakes fields such as healthcare, finance, or infrastructure is a plus

What Success Looks Like

• Delivering intuitive, reliable user experiences relied upon by clinicians and patients daily
• Shaping product strategy and decisions, not just coding implementations
• Proactively resolving performance and usability issues before they emerge
• Becoming a respected and influential figure in multidisciplinary teams
• Driving faster and higher quality team deliveries through your involvement

Compensation and Benefits

• Salary ranging between £90,000 and £130,000 depending on experience, plus founding-level equity
• Location: Stratford, London - onsite 4 days per week with 1 day remote flexibility, core office days Monday, Tuesday, Thursday, and Friday
• Homemade breakfast and lunch provided daily in the office
• Paid volunteer days: two additional paid days per year for volunteer activities
• Regular team social days every 8 weeks, amounting to 6 days off annually
• Annual £250 learning budget alongside dedicated time for professional growth
• Weekly team takeaways on Monday evenings
• Monthly £60 health and fitness allowance
• Additional 7 paid days available for meditation or mindfulness practices
• Latest MacBook Pro and choice of operating system and peripherals
• Generous sick leave including mental health days
• Annual company holiday together, destinations chosen by team vote
• Parental leave exceeding statutory requirements with tiered paid leave and substantial childcare contribution
• Five extra days off yearly for fertility treatment support
• Standard pension scheme: 3% employer contribution, 5% employee auto-enrollment using Nest
• Local living allowance: £5,000 for living within 30-minute walk, or £2,500 within 30-minute bike ride to office
• Optional wellbeing support including dinner and Uber expenses for late working hours
• No private medical insurance provided, supporting NHS commitment

Work Culture and Environment

The team predominantly comprises NHS staff embedded within a working GP practice, enhancing immediate insight and impact on healthcare delivery. The culture emphasizes collaboration, autonomy, trust, and high performance combined with inclusivity and diversity. Healthtech-1 pursues a welcoming environment that embraces all dimensions of diversity, ensuring every member feels valued and integrated. Regular communal home-cooked lunches from various cultures accentuate this spirit.