Job Title

The OpportunityWe are an Imperial College London med tech spinout building AI-powered clinical decision-support tools certified as Software as a Medical Device (SaMD). Our platform uses real-world EHR data to identify patients at risk of preventable harm — giving NHS clinicians time to act.We are a small, high-ownership team operating at the intersection of clinical AI and healthcare infrastructure. This is a foundational engineering hire with a clear path to Head of Engineering as we scale.The RoleYou will own and shape the technical core of a live clinical AI platform — working across backend services, ML infrastructure, and hospital data integrations. You will have a direct line to the CTO and CEO from day one, with real influence over architectural decisions on a system processing real patient data across NHS trusts.What You'll DoOwn and extend the backend and ML infrastructure of a production SaMD systemDesign and implement integrations with hospital systems (EHR, HL7/FHIR), including partnerships with major healthcare data platformsBuild and maintain Python/Azure-based services — APIs, data pipelines, monitoring and audit frameworksWrite software that meets medical device quality standards, producing artefacts that support regulatory submissionsCollaborate with clinical, data science, and regulatory stakeholdersHelp define engineering culture and processes as the team grows around youWhat We're Looking For5+ years of professional software engineering experience with a strong Python backgroundProven experience building and operating production services on Azure or AWSComfort with data-heavy systems — pipelines, databases, REST APIs — and a taste for clean architectureStrong written communication; able to document work to regulatory audit standardNice to HaveExperience in a regulated software environment (medical devices, fintech, defence, or similar)Familiarity with FHIR/HL7 or clinical EHR systemsExposure to ML model deployment or monitoring in productionTech StackPython · Azure · Terraform · Docker · ML Pipelines · FHIR / HL7 · GitHub ActionsWhat's on OfferCompetitive renumeration package, depending on experience25 days annual leave + bank holidaysAccess to clinical and academic networksFlexible hybrid working, London baseGrowth PathAs we move through our next funding round and scale clinical deployments, the expectation is that you grow into Head of Engineering or equivalent — owning technical strategy, building a team, and sitting at the table for product, regulatory, and commercial decisions.