Fullstack Software Engineer

Hybrid: London Bridge office, working 3 days per week in person if possible, with some flexibility possible if required.

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

Reporting to: VP of Technology, Avishai Gurt.

About Paloma: Paloma’s mission is to make children’s autism and ADHD assessments and care available on the NHS within 4 weeks of GP referral. We are making this possible by setting a new standard for high-quality autism and ADHD care, building great software & AI tools, and investing in clinicians' learning & development. We have grown a fantastic team of 120 people, of whom over 80 are clinicians supporting families through their assessment journey. To meet the needs of families, we are recruiting >100 more people in the next 12 months. We raised £5m pre-seed funding from leading healthcare investors (Triple Point Ventures and Heal Capital), helping us to invest in our technology and our team. We have achieved financial sustainability.

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, come join Paloma’s team of 7 software engineers and 3 product experts! 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. As we are a rapidly scaling organisation, you will have multiple opportunities to develop. With demonstrated success in the role, you can progress to a Senior Fullstack Engineer.

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 your own 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.
• A minimum of four years of technical experience working in a company, preferably in a fast-paced environment, e.g. in scaleups.
• Able to communicate clearly and efficiently within our 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).
• 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 include:

• 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.

You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England.

For all employees, we offer:

• A strong and positive culture that prioritises staff well-being, transparency, and career development.
• Protected time and budget for team connection, learning, and community-building.
• Salary of £85,000 per year with some flexibility based on experience.
• Annual salary reviews, ensuring they are competitive.
• Equity compensation through Share Options in Paloma Health.
• Private Medical Insurance.
• Employee Assistance Programme.
• Professional Registration Fees Allowance for clinicians.
• A unique annual leave benefits package which includes: 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off. Option to buy an additional 5 days per year (giving a maximum of 42 days). Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related.

Additional benefits include:

• A premium performance company laptop.
• NHS discounts, including the Blue Light Card (as we are an NHS provider).

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’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

Safer Recruitment & Pre-Employment Checks: Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.

Application process: Please apply via our website. We understand that applying for a new job requires significant effort, and we appreciate your time. We look forward to reviewing your application. Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!