Staff Ruby Engineer - Product Engineering in London

Staff Ruby Engineer - Product Engineering in London

London Full-Time 115000 - 135000 Β£ / year (est.) Home office (partial)
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At a Glance

  • Tasks: Own features end-to-end, engaging with NHS staff and patients to solve real problems.
  • Company: Join Accurx, a fast-growing tech company transforming healthcare communication.
  • Benefits: Competitive salary, share options, flexible working, and generous holiday allowance.
  • Other info: Enjoy free meals, a dog-friendly office, and excellent career growth opportunities.
  • Why this job: Make a real impact in healthcare while working with cutting-edge AI technology.
  • Qualifications: Experience in software development across the stack and a passion for problem-solving.

The predicted salary is between 115000 - 135000 Β£ per year.

Accurx is where conversations happen with and about patients. 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. 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.

What sets our Product Engineers apart is that they own the problem, not just the code. They bring engineering judgment into product decisions, and product thinking into engineering ones. Our stack is primarily C# on the backend, TypeScript and React on the frontend, running on Azure. ML/AI work uses Python.

What you'll be doing:

  • Owning features end-to-end: from refining the problem with clinicians and product managers through to architecture, implementation, rollout, and long-term evolution.
  • Engaging directly with NHS GPs, practice staff and patients to build a genuine understanding of the problems you're solving β€” research sessions, visiting practices.
  • Designing architecture and API boundaries with the broader system in mind, not just the immediate surface.
  • Holding the quality bar for what you ship: not just that the code works, but that the product is reliable, intuitive and safe in a clinical context.
  • Making the architectural calls that keep our codebase sustainable β€” improving system health alongside shipping features, not instead of it.
  • Pushing back constructively when something is wrong, and committing fully when a decision has been made.

What experience you need to be successful:

  • Comfortable building production software across the stack - you might be strongest in backend or frontend, but you can follow a problem across both to own a feature end-to-end.
  • Proven ability to reason about systems - breaking ambiguous problems into tractable pieces, spotting trade-offs and second-order effects before they become incidents.
  • Comfortable with ambiguity and early-stage problem definition; you shape the work rather than wait for a finished spec.
  • You treat engineering quality as part of the job - managing technical debt pragmatically, reviewing AI-generated output critically, and pushing for the right architectural decisions under real constraints.
  • Curiosity about AI tools and how they change the way you work, with the judgment to know when to rely on them and when not to.

What we're looking for to demonstrate as a Product Engineer at Accurx:

You start from the user problem, not the technology. In the AI era, that also means knowing what to delegate, what needs human judgment, and what shouldn't exist at all. You can pick up unfamiliar code, systems, and assess AI-generated output. You actively experiment with AI tools to push the boundaries of what's possible today, with the scepticism to avoid overhyping what they can do. You're actively learning and experimenting with AI tools, pushing the boundary of what's possible today, with the healthy scepticism that keeps you from overhyping what they can do.

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.

Compensation:

Β£115,000 - Β£135,000 salary + Β£50,000 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!

Staff Ruby Engineer - Product Engineering in London employer: Accurx

Accurx is an exceptional employer, offering a dynamic work culture that prioritises innovation and collaboration in the healthcare sector. With a focus on employee growth, you will have the opportunity to engage directly with NHS professionals and patients, shaping meaningful solutions while enjoying flexible working arrangements and generous benefits, including enhanced parental leave and free meals in our Shoreditch office. Join us in our mission to revolutionise healthcare communication and be part of a team that values your contributions and fosters your professional development.

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Contact Details:

Accurx Recruitment Team

We think you need these skills to ace Staff Ruby Engineer - Product Engineering in London

C#
TypeScript
React
Azure
Python
API Design
System Architecture