Fullstack Software Engineer

Job Title: Fullstack Software Engineer

Time commitment: Full Time        

Location: Hybrid (3 days/week) in our London office

Reporting to: VP of Engineering 

 

About Paloma

We aim to provide families with high-quality NHS autism and ADHD assessments for their child within 4 weeks of a GP referral. 

We were founded as we are deeply frustrated that families are waiting 2.5-10 years for NHS children’s autism and ADHD assessments, and this crisis has recently been highlighted by the Children’s Commissioner for England: https://www.childrenscommissioner.gov.uk/blog/childrens-commissioner-warns-of-invisible-crisis-as-delays-and-inequalities-laid-bare-among-children-with-neurodevelopmental-conditions/

Our NHS children and young people’s autism assessments went live in November 2024, and we are launching NHS children’s ADHD assessments and treatment in early 2026.

How is Paloma different?

• We are clinically led, Care Quality Commission (CQC) registered, with a strong focus on the quality of care we provide
• We have built our own software platform to:
• Give our families a more consumer-like experience of healthcare
• Free our assessors from documentation to focus on  supporting families
• Our strong culture, including a friendly and approachable team, transparency, a sense of community, and supporting staff career development
• The experience of our founders (Dr Mark Jenkins & Darshak Shah), who have previously built tech-enabled NHS obesity and ophthalmology services. Combined, their previous companies have treated over 1 million NHS patients in the last 15 years!
• Being backed by leading healthcare investors (Triple Point Ventures and Heal Capital), allows us to move fast.

 

The Opportunity

We are seeking a highly talented software engineer who will play a pivotal role in shaping the development of our Healthcare Platform. The platform's goal is to support the onboarding and treatment by our clinicians of patients living with our target conditions, including autism, ADHD, and dementia. 
You will be responsible for implementing our high-performing Healthcare Platform, ensuring technical excellence, and driving innovation that pushes the boundaries of a tech stack for delivering healthcare. Additionally, you will assist in expanding and developing our engineering team.

 

From a cultural perspective, you are:

• Comfortable working in a dynamic environment and embracing change
• Excited about using new technologies in your role
• Always looking for ways to improve our staff and patient experience

 

We commit to supporting your development and well-being, including:

• Quarterly development conversations with clear career progression pathways

 

Responsibilities:

• Writing clean, maintainable, and efficient code across the full stack in any of the following languages: C# or TypeScript.
• Creating and integrating with RESTful APIs for internal and external use.
• Develop, deploy and maintain scalable and resilient cloud-native applications on platforms like AWS or GCP. Translate product and business requirements into solid technical solutions.
• Collaborate with cross-functional teams, including product, clinical, and support, to develop and implement the company's technical vision while aligning with product and business goals.
• Participate in code reviews and contribute to improving software development processes and culture.
• Guide and mentor your colleagues to support their professional development

 

Qualifications and experience:

Required:

• Bachelor's or master's degree in Computer Science, Engineering, or a related field.
• Minimum of five years of technical experience, preferably in a fast-paced startup environment.
• Proficiency in C# and TypeScript (Java or Python is a plus).
• Solid experience with React.js and with Single-Page Application development.
• Experience developing and deploying containerised applications within the context of cloud platforms (ideally GCP)
• Experience building event-driven systems.
• Proficient in SQL and management of SQL databases in a cloud environment.
• Experienced in automating complex processes and user journeys like: onboarding, triaging and scheduling.
• Strong communication and collaboration skills.

 

Desirable:

• Knowledge of AI/ML principles and concepts.
• Experience with infrastructure as code.
• Experience working with health data and adhering to regulatory requirements.
• Experience in working in healthcare software development.
• Familiar with NHS platforms like: EPS, PDS or eRS.
• Experience with monitoring and logging tools (Prometheus, Grafana).

 

Don’t meet every requirement? 

Studies have shown that women and people from ethnic minority groups are less likely to apply for jobs unless they meet every qualification. Paloma is dedicated to building a diverse and top-performing workplace, so if you’re excited about this role but your past experience doesn’t align with every qualification, we strongly encourage you to apply. You may be just the right candidate for this or other roles!

 

Why join Paloma?

You will be part of a mission-driven organisation that’s transforming access to Autism Assessments in England. We offer:

• A strong and positive culture that prioritises staff well-being, transparency, and career development.
• Protected time and budget for team connection, learning, and community-building.
• Salary of up £80,000 per year based on experience 
• Annual salary reviews, 5% employer pension, and company laptop.
• Share options in Paloma Health. We all benefit from our success!
• A unique leave benefits package includes 25 days of annual leave, your birthday off, and 10 days of paid sabbatical leave every three years of service.
• Home Office Equipment Allowance, and Professional Registration Fees Allowance for Assessors.
• Access to NHS discounts, including the Blue Light Card (as we are an NHS provider).

 

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

 

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

 

Safer Recruitment & Pre-Employment Checks

Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who are aligned with our values and who will contribute to maintaining a safe and supportive environment for everyone we work with.

 

Application process

Please apply via our website. We understand that applying for a new job requires a significant amount of effort, and we appreciate your time. We look forward to reviewing your application.

 

Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!