Back End Developer

Senior Backend Software Engineer

A rapidly scaling, AI-driven health-tech organisation (Series A funded) is hiring an experienced Senior Backend Engineer to help build and scale the backend infrastructure powering cutting-edge clinical knowledge tools used by hundreds of thousands of clinicians globally.

This is a role with significant ownership, impact, and influence — working in a small, highly capable team of clinician-engineers at the forefront of AI in healthcare.

The Opportunity

You will design, build, and optimise cloud-first backend systems, with a strong emphasis on AWS Serverless, LLM-powered workflows, and highly reliable production infrastructure.

This is the chance to help define how AI is safely deployed in frontline clinical environments.

Tech Stack (Highly Desirable)

  • AWS (Lambda, API Gateway, Cognito, S3, OpenSearch)
  • Node.js / TypeScript & Python
  • DynamoDB & PostgreSQL
  • Serverless & microservices architecture
  • Terraform, Docker, CI/CD
  • Security/Compliance (HIPAA, GDPR, NHS DTAC, SOC2)

What You'll Do

  • Build highly scalable backend services and APIs
  • Work on LLM-powered features (RAG pipelines, embedding workflows)
  • Develop agentic document extraction systems for clinical PDFs
  • Own backend reliability, performance, and security
  • Work cross-functionally with product, frontend, and leadership
  • Write clean, well-tested, maintainable code

What You'll Bring

  • 5+ years' experience in production backend engineering
  • Strong AWS proficiency
  • Experience designing scalable, cloud-native systems
  • Pragmatic problem-solver with a high bar for quality
  • Experience in smaller teams/startups is highly advantageous

Why This Role?

You'll join just as the engineering organisation is scaling - meaning real influence, major technical ownership, and the ability to help shape backend infrastructure that will impact healthcare worldwide.

This is not a normal engineering role - it's mission-driven, fast-paced, and incredibly meaningful with a great salary and stock options

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Job Details

Company
ScaleXTM Talent Solutions
Location
Slough, Berkshire, UK
Employment Type
Full-time
Posted