Forward Deployed Integration Engineer in London

Accurx is where conversations happen with and about patients. For decades, the NHS has struggled with fragmented systems that make simple tasks feel impossible. We’re changing that by building a single, system-wide platform that connects everyone through communication. What started as a way for GPs to text a patient has now evolved into an all-in-one digital toolkit used by 98% of GP practices.

Our platform now powers Total Triage to manage patient demand, and Self-Book, which lets patients schedule their own appointments in seconds. We’ve automated routine care with Patient Questionnaires for long-term conditions, while Accumail finally allows staff-to-staff communication to happen instantly across different care settings. We’re now pushing the boundaries of the consultation itself with Accurx Scribe, our AI-powered note-taker that drafts medical notes in real-time.

Challenges you’ll solve:

• NHS trusts run on complex, deeply embedded systems - and making those systems talk to each other is hard. You'll be the person who makes it happen. You'll spend significant time embedded with trust IT teams and clinical stakeholders, diagnosing real integration problems, scoping solutions, and working hand-in-hand with our engineering teams to deliver them.
• This is a role for someone who thrives on ambiguity, builds trust quickly, and knows how to turn a messy customer problem into a clean technical brief.
• Be the technical face of integrations: Own the customer-facing technical relationship with NHS trusts: running workshops, joining calls, and building lasting relationships with IT managers, project leads, and clinical stakeholders.
• Diagnose and unblock: Investigate integration issues end-to-end, tracing data flows across our platform, EPR/PAS systems, and messaging standards (HL7, FHIR, MESH) to find root causes and drive resolution fast.
• Scope solutions on the ground: When trusts surface new requirements or edge cases, you'll weigh them against our product roadmap and translate them into well-defined technical briefs for the Integrations Lead and product team.
• Bridge customer and code: Partner day-to-day with our engineering teams and partners, writing clear definitions of ready, reviewing delivered work, and flagging edge cases before they become problems in production.
• Support release and assurance: Contribute to clinical, security, and data safety gates, drawing on real customer evidence to validate that new integrations are fit for purpose.
• Build the knowledge base: Own internal documentation on trust-specific configurations, common integration patterns, and becoming the go-to expert on what makes our integrations tick.
• Inform the roadmap: Surface patterns from the frontline - recurring pain points, feature gaps, and opportunities, giving the Integrations Lead the evidence they need to prioritise effectively.

You should apply if:

• You have a strong technical background: comfortable reading and reasoning about code, working with APIs, and navigating healthcare interoperability standards like HL7, FHIR, and MESH.
• You've spent significant time working directly with customers or external stakeholders in a technical capacity, on calls, in workshops, or embedded on-site, and you're confident making judgement calls when you're the only technical person in the room.
• You can switch fluently between deeply technical and non-technical audiences, explaining a complex integration issue to a trust IT manager and writing a clear technical spec for an engineering partner without missing a beat.
• You're comfortable investigating issues across complex distributed systems, following data flows across system boundaries to find root causes methodically and calmly.
• You have experience working in or with the NHS, particularly with trust IT teams or EPR/PAS vendors, and you understand the regulatory environment around clinical data.
• You're highly organised and able to manage multiple trust engagements in parallel without losing context, and you know when to escalate versus when to just get on with it.
• You have experience working with outsourced or partner engineering teams and know how to keep delivery on track across organisational boundaries.

What’s in it for me?

• You'll be joining an established but fast-growing Tech for Good movement, where we're led by our Principles and our mission to fix healthcare communication.
• £115,000 - £135,000 salary + £50,000 default share options.
• Benefits to suit you: adjust your healthcare cover, your pension or life insurance, whatever stage you’re at in life.
• Flexible working: We are an office-first culture and ask that you’re in our (dog-friendly) Shoreditch office 3 days a week, with core hours of 10am - 4pm.
• Time off: You’ll get 28 days of holiday (plus bank holidays) and up to 4 weeks to work from anywhere per year.
• Family matters: We offer enhanced parental leave, fertility support and parental loss support.
• We have our very own Chef! Free healthy breakfasts, snacks and lunches will be provided, with the occasional sweet treat!