Fullstack Software Engineer

Time commitment: Full-time . Location: Remote 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 are making this possible by setting a new standard for high-quality autism and ADHD care, building great software & AI tools, and investing in clinicians' learning & development. Mark and Darshak founded Paloma due to their frustration that families are waiting 4-10 years for NHS children’s autism and ADHD assessments. This crisis in NHS children’s neurodevelopmental services has been highlighted by the Children’s Commissioner for England here: Since launching, we have: - Grown a fantastic team of 120 people, of whom over 80 are clinicians supporting families through their assessment journey. - To meet the needs of families, we are recruiting >100 more people in 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? - Our clinical quality: We are clinically led, Care Quality Commission (CQC)- registered, measure our outcomes, and continuously improve our pathway for families and clinicians. - Our internal product & engineering team, who build fantastic software to: - Give families a fantastic 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! The opportunity Do you want to finish every day knowing you directly improved the lives of children and families by speeding up access to NHS children’s autism and ADHD assessments? Would you like the freedom to work using the latest AI tools for software development? If yes, come join Paloma’s team of 7 software engineers and 3 product experts! As a Fullstack Engineer, you will own specific workstreams to continuously improve the Paloma Portal, our AI-powered patient pathway and Electronic Patient Record (EPR) software. This software ensures Paloma can give families fast access to an autism or ADHD assessment and supports our clinicians to maximise time with families rather than on documentation. As we are a rapidly scaling organisation, you will have multiple opportunities to develop. With demonstrated success in the role, you can progress 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 environment, e.g. in scaleups -