Senior Backend Engineer in Ruislip

Meroka is building the infrastructure for independent medicine in the United States. Independent physician practices deliver extraordinary care but operate in a fragmented system with opaque pricing, complex administration, and limited negotiating power with large insurers. We are building the data, software, and operational infrastructure that allows independent practices to thrive. At the core of this effort is a large healthcare data platform that aggregates many different data sources into a unified system. This includes public datasets, operational practice data, regulatory information, pricing signals, and quality metrics.

On top of this foundation, we are building a direct contracting marketplace where:

• Independent physician practices can set transparent prices for procedures
• Employers can evaluate providers based on price and quality
• Contracts and transactions occur directly between employers and providers

The goal is simple: lower costs for employers while improving reimbursement and autonomy for independent practices. We believe in clear communication, practical systems, thoughtful design, and long term thinking. Our tone is warm, grounded, and confident but never corporate or clinical.

This Role Is Not for You If…

• You want to focus purely on AI model research rather than building production systems
• You prefer working on isolated technical problems rather than integrating complex real world systems
• You are uncomfortable working with messy real world datasets that require structuring and normalization
• You want highly rigid specifications rather than working iteratively with product, operations, and leadership
• You avoid industries where compliance, auditability, and real operational impact are critical

What You’ll Do

• Build backend systems that ingest, structure, and manage large healthcare datasets from many sources
• Design and maintain data pipelines that normalize and unify complex healthcare data
• Develop APIs and services that power Meroka’s internal tools and marketplace infrastructure
• Build systems that generate pricing intelligence and provider insights from large datasets
• Help design and implement quality scoring and benchmarking frameworks for independent practices
• Contribute to backend systems supporting employer and provider transactions on the Meroka marketplace
• Develop AI assisted tools that help structure data, automate workflows, and generate operational insights
• Work closely with product, operations, and leadership to translate real world healthcare problems into software systems
• Design systems with reliability, transparency, and auditability from the start
• Take ownership of backend architecture that will support the long term growth of the platform

We’re Looking For Someone Who…

• Has 3 or more years of experience in software engineering, ideally with a backend or data infrastructure focus
• Is comfortable working with large structured and unstructured datasets
• Has experience building data pipelines, APIs, and integration layers
• Brings strong programming skills in Python, TypeScript, or similar languages
• Has experience working with LLMs or AI orchestration frameworks
• Understands how to build systems with reliability, transparency, and auditability
• Can collaborate closely with non technical teams to translate operational workflows into software systems
• Thrives in early stage environments where ownership, speed, and clarity are essential

What We Offer

• Competitive compensation and health benefits
• This role would be based in London face-to-face with the team
• The opportunity to help build one of the most useful healthcare data platforms supporting independent physician practices
• Ownership of core infrastructure that powers pricing intelligence and marketplace transactions
• A thoughtful, ambitious team that values pragmatism, clarity, and long term thinking

Additional Notes

This role is based in London and part of a distributed engineering team across London, Montréal, Ottawa, and Vancouver. The team currently is growing as Meroka expands its data platform and marketplace capabilities. Occasional travel to the United States or Canada may occur for team collaboration or product initiatives.

How To Apply

Send us your CV and examples of systems you have built. Bonus points if you include a short Loom video walking us through a project where you:

• built a data pipeline
• unified multiple datasets into a usable system
• automated a complex operational workflow