Lead Engineer (HealthTech)

Permanent, Full Time

Remote (UK) — handful of in-person days per month

Precision HealthTech is building the next generation of intelligent, patient-centric healthcare.

Formed through the evolution of Healthy.io (UK), Precision HealthTech combines proven, regulated digital health solutions with new investment, ambition, and scale. Our flagship product, Minuteful for Wound , is a CE-marked, AI-powered platform that transforms a standard smartphone into a clinical-grade wound assessment tool - bringing precision measurement, structured clinical insight, and real-time tracking directly into the hands of clinicians and patients.

We are entering a new phase: scaling across the NHS and international markets, expanding our product portfolio, and redefining how care is delivered outside traditional settings. Our technology enables clinicians to work smarter, improves consistency and outcomes, and empowers patients to actively participate in their healing journey.

At Precision HealthTech, we are not just digitising existing pathways - we are redesigning them. This is an opportunity to shape the future of regulated digital healthcare at scale, in an organisation that combines deep clinical credibility with the agility of a high-growth technology company.

We are building a small, high-trust team where people take ownership, work collaboratively, and focus on delivering meaningful impact in healthcare. Our work is grounded in a few core principles:

• Patients first: Every product must measurably improve outcomes and access.
• Precision in everything : Clinical-grade accuracy, operational reliability, and data integrity.
• Trust and transparency: With staff, clients, and partners. Recruitment, culture, and decision-making shaped with staff, not done to them.
• Bold innovation, quiet delivery : World class technology delivered seamlessly and simply.
• Local roots and history with global relevancy : proven UK centre of excellence powering international health impact.

What you will do

You will take ownership of a clinically deployed platform used across the NHS at a critical moment of transition. Your first priority will be to lead the knowledge transfer from the outgoing team, building a strong understanding of the architecture, codebase, and how the platform operates in practice.

This is a hands-on, player-coach role. You will write code, review PRs, and deliver features end-to-end across the stack, while leading the platform through validation and go-live in a regulated environment where quality, documentation, and control are essential.

You will set the engineering standards, shape the technical direction, and build the team around you. In the early stages, you will drive delivery yourself - creating momentum while establishing a high-performing, high-trust engineering culture.

Working closely with product, clinical, and regulatory teams, you will deliver software that has real clinical impact - ensuring the platform remains reliable, scalable, and trusted as it grows across the UK and internationally.

• Solid engineering experience with time spent leading a small team or acting as a go-to technical voice with mentoring responsibility.
• Full-stack capability - strong backend with working proficiency in a modern frontend framework. You can deliver production UI changes, not just APIs.
• Backend depth in Node.js or a comparable server-side language, with the ability to pick up an established codebase and its conventions quickly.
• Database experience (PostgreSQL preferred) including schema design, migrations, and query performance.
• Cloud platform experience (GCP preferred, but strong AWS or Azure engineers who can adapt are welcome).
• Comfortable with containerised deployments (Docker, Kubernetes).
• Experience working in an environment where change control and documentation aren’t optional - regulated industries, healthcare, fintech, or similar.
• Previous work on healthcare platforms, clinical tools, or medical devices. If you’ve worked in a setting where you know what a QMS is, how design control works, and why you can’t just ship without sign-off, that’s a significant advantage.

• Message broker experience (RabbitMQ or similar).
• NHS integration experience (FHIR, PDS).
• Experience inheriting and running systems built by other teams.

• Remote role, UK-based. You’ll need to attend in-person meetings and team working days a handful of times per month (typically 2–4 days). These will predominantly be in London.