Fullstack Software Engineer

Fullstack Software Engineer

Time commitment: Full-time.          

Location: Hybrid: 2-3 days in the London office, 2-3 days remote per week.

Reporting to: VP of Technology, Avishai Gurt

About Paloma

Paloma’s mission is to make children’s autism and ADHD assessments and care available on the NHS within 4 weeks of GP referral. We believe the NHS can offer quick access to these services, and Paloma is achieving this by redesigning care pathways, building new software & AI tools, and investing in the learning & development of clinicians.

Mark and Darshak founded Paloma as they were frustrated that families are waiting 2-10 years for NHS children’s autism and ADHD assessments. This crisis in NHS children’s neurodevelopmental services has recently been highlighted by the Children’s Commissioner for England here: https://www.childrenscommissioner.gov.uk/blog/childrens-commissioner-warns-of-invisible-crisis-as-delays-and-inequalities-laid-bare-among-children-with-neurodevelopmental-conditions/

We are growing our team purposefully to meet the need for NHS autism and ADHD care, and since launching we have:

• Grown our fantastic team to 90 people, and are hiring ~100 more over the next 12 months
• Raised £5m pre-seed funding from leading healthcare investors (Triple Point Ventures and Heal Capital) helping us to invest in our technology and our team
• Achieved financial sustainability

How is Paloma Health different from other Neurodevelopmental providers?

• We are clinically-led, Care Quality Commission (CQC) registered, and continuously improve our outcomes and family experiences.
• Our in-house product & engineering team ensures we can:
• Give families a more consumer-like experience of healthcare
• Free our clinicians from documentation to focus on supporting families
• Our strong culture, including 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 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 AI-powered patient pathway and Electronic Patient Record (EPR) software. This software ensures Paloma can give families fast access to an autism assessment and supports our clinicians to maximise time with families rather than on documentation.

Working as part of our current team of 6 software engineers and 3 product experts, you will own specific work streams that continuously improve our software.

With demonstrated success in the role (including consistently delivering your objectives), you can be promoted to a Senior Fullstack Engineer.

Responsibilities

Collaborate with cross-functional teams, including engineering, product, clinical, and support, to develop and implement the company's technical vision. This includes:

• Write clean, maintainable, and efficient code across the full stack in C# or TypeScript.
• Create and integrate with RESTful APIs for internal and external use.
• Developing complex interfaces using ReactJS and TypeScript.
• Develop, deploy, and maintain scalable, resilient cloud-native applications on platforms such as AWS or GCP. 
• Translating product and business requirements into solid technical solutions.
• Participate in code reviews and contribute to improving software development processes and culture.
• Build your own knowledge and skills to create AI and/or agent-based applications where appropriate, e.g. for intelligent process automation, data collection, and user assistance.

Qualifications and experience

• Bachelor's or master's degree in Computer Science, Engineering, or a related field.
• A minimum of four years of technical experience working in a company, preferably in a fast-paced startup environment.
• Able to communicate clearly and efficiently within our product & engineering team

Technical skills and experience should include:

• Proficiency in C# and TypeScript (Java or Python is a plus).
• React.js and Single-Page Application development.
• Developing and deploying containerised applications within the context of cloud platforms (ideally GCP)
• Building event-driven systems.
• SQL and management of SQL databases in a cloud environment.
• Automating complex processes and user journeys, e.g. onboarding, triaging and scheduling.
• Using AI tools for software development, like Cursor, Windsurf or AntyGravity.

Desired but not essential skills and experience include:

• Developing agentic applications using LangGraph or Google ADK frameworks. 
• Infrastructure as code (preferably Pulumi). 
• Monitoring and logging tools (Prometheus, Grafana).
• Setting up RAG pipelines and embeddings.
• Integrating with MCP services.
• Working within healthcare, including with health data and adhering to regulatory requirements, and familiarity with NHS platforms like EPS, PDS or eRS.

Why join Paloma?

You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England. For all employees, 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.
• Competitive compensation, including:
• Salary of £80,000- 90,000 per year, with some flexibility based on experience. 
• Annual salary reviews, ensuring they are competitive
• 5% employer pension contribution
• Private medical insurance and Employee Assistance Programme (from early 2026)
• Home Office Equipment Allowance
• A unique annual leave benefits package which includes:
• 34 days of annual leave. This includes eight bank holidays and your birthday off.
• Option to buy an additional 5 days per year
• An additional 10 days of paid sabbatical leave every three completed years of service (which means 44 days of leave in year four at Paloma!)
• Additional benefits including:
• A premium performance company laptop
• Equity compensation through Share Options in Paloma Health for employees working at least 32 hours per week with Paloma. 
• 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!