Fullstack Software Engineer London

Time commitment: Full-time. Location: Hybrid preferred, 2 days in the London office (Wednesdays and Thursdays) and 3 days working from home per week.

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, join Paloma’s team of software engineers.

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.

Responsibilities:

• Collaborate with cross‑functional teams, including engineering, product, clinical, and support, to develop and implement the company's technical vision.
• 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.
• Develop complex interfaces using ReactJS and TypeScript.
• Develop, deploy, and maintain scalable, resilient cloud‑native applications on platforms such as AWS or GCP.
• Translate product and business requirements into solid technical solutions.
• Participate in code reviews and contribute to improving software development processes and culture.
• Build 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.
• Minimum of four years of technical experience working in a company, preferably in a fast‑paced environment such as scale‑ups.
• Able to communicate clearly and efficiently within the product & engineering team.

Technical skills and experience should include:

• Proficiency in C# and TypeScript (Java or Python is a plus).
• React.js and single‑page application development.
• Developing and deploying containerised applications within the context of cloud platforms (ideally GCP).
• Building event‑driven systems.
• SQL and management of SQL databases in a cloud environment.
• Automating complex processes and user journeys, e.g. onboarding, triaging and scheduling.
• Familiar with spec‑driven development using AI tools like Claude Code, Cursor, or Windsurf.

Desired but not essential skills and experience:

• Developing agentic applications using LangGraph or Google ADK frameworks.
• Infrastructure as code (preferably Pulumi).
• Integrating with MCP services.
• Working within healthcare, including with health data and adhering to regulatory requirements.
• Monitoring and logging tools (Prometheus, Grafana).
• Setting up RAG pipelines and embeddings.

Why join Paloma?

For all employees, we offer a strong and positive culture that prioritises staff well‑being, transparency, and career development, including quarterly development conversations and clear progression pathways.

Benefits:

• Protected time and budget for team connection, learning, and community‑building.
• Salary of £85,000 per year with flexibility based on experience.
• Annual salary reviews.
• 5% employer pension contribution.
• Equity compensation through Share Options in Paloma Health.
• Private medical insurance.
• Employee Assistance Programme.
• Home office equipment allowance.
• Professional registration fees allowance for clinicians.
• Unique annual leave package: 37 days (28 standard days, eight bank holidays, birthday off) with option to buy up to 5 additional days.
• Special leave: up to 2 days per year for life events.
• Premium performance company laptop.
• NHS discounts, including Blue Light Card.

Equality & Diversity: Paloma Health is an equal‑opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

Accommodations: We accommodate candidates who need adjustments throughout the hiring process and encourage them to discuss the adjustments required so we can adapt our interview process accordingly.

Safer Recruitment & Pre‑Employment Checks: Paloma Health requires a Disclosure and Barring Service (DBS) check, level depending on the role (Enhanced, Standard, or Basic). We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding.