Opportunity Overview Aykua Health builds technology to reduce manual administrative work in healthcare, including forms and workflow coordination. The software engineer will help deliver products used by patients, clinics and internal operators. The scope is broad: a successful hire will need to turn ambiguous user needs into working interfaces and dependable backend behaviour, with direct guidance from the CTO but individual responsibility for shipped features.
Technical Environment and Responsibilities The production stack relies on PureScript compiled to JavaScript and Erlang/OTP, with PostgreSQL, AWS, reproducible Nix-based environments and infrastructure tooling including Terraform or OpenTofu. Rather than treating UI and backend work as isolated tracks, the role spans responsive interfaces, APIs, data models and third-party integration paths. The job also involves event-driven data processing and safe replay mechanisms, which create additional reliability demands beyond ordinary CRUD delivery.
Quality and AI-Assisted Development The advertised workflow uses behaviour-focused acceptance criteria and Playwright testing. Engineers are expected to coordinate work with coding agents but independently review and verify the resulting code. The role also involves evaluating AI systems with representative datasets and meaningful measures of quality and reliability. These responsibilities make careful testing and engineering judgement especially important in a healthcare context.
Relevant Background The employer asks for substantial experience delivering web applications autonomously, strong browser engineering, SQL-backed service development and a sound basis in typed functional programming. Prior PureScript experience is not mandatory; willingness to adopt the language is explicit. Familiarity with healthcare interoperability, security technology and the adjacent stack is helpful rather than universally required.
Pay, Location and Eligibility The published pay range is £55,000–£72,000, with stock options; the extracted wording did not specify a payment period. The role is full-time and hybrid near Cambridge, requiring regular office contact with some flexibility. UK-time collaboration is expected. Applicants must already hold work authorization in the UK or US; the employer does not offer visa sponsorship. Relocation is marked as allowed, but funded relocation is not established.
Who This Opportunity Is Best Suited For
Laplace assessment: this role suits an engineer with strong full-stack delivery experience, comfort with functional programming and the discipline to validate agent-assisted code. People interested in software that handles sensitive healthcare operations may find the reliability and integration aspects especially engaging.
Potential Challenges / Who May Find It Less Suitable
Laplace assessment: candidates looking only for conventional JavaScript application work may face a significant language and architectural learning curve. The hybrid Cambridge arrangement and absence of sponsorship make the role less suitable for those requiring fully remote or visa-sponsored employment.
Overall Opportunity Assessment
The position combines meaningful technical autonomy with unusually explicit expectations around test evidence and AI-tool evaluation. Its strongest differentiator is the chance to work across the application stack in a compact healthcare team, provided the location and authorization requirements fit.
Software Engineer — PureScript and Erlang Healthcare Applications in Cambridge employer: Laplace Apply
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