Senior Back End Engineer

One-line purpose:

You’ll play a key role in designing, building and evolving the applications and services that power our platform, working across back end technologies.

This role sits within our Engineering Team.

And works closely with Product Managers, Designers, QA Engineers and our Engineering teams in both the UK and India to deliver secure, scalable solutions that directly improve patient care.

Primary impact:

• As a healthcare platform, quality, reliability and security are fundamental. You’ll help build software that protects sensitive patient data while providing fast, intuitive and resilient digital experiences., * Design, build and maintain scalable backend services using Node.js and TypeScript.
• Build secure RESTful APIs and integrate with internal and third-party services.

1. Engineering Excellence * Write clean, maintainable and well-tested code. * Participate in code reviews and architectural discussions. * Help improve engineering standards, tooling and development practices. * Contribute to automated testing and CI/CD pipelines.

2. Security & Quality * Build secure applications using modern authentication and authorisation approaches. * Ensure solutions meet GDPR and healthcare security requirements. * Consider security and privacy throughout the software development lifecycle.

3. Collaboration * Work closely with Product Managers to understand business requirements. * Collaborate with engineers across the UK and Bangalore. * Participate in Agile ceremonies including planning, refinement, reviews and retrospectives. * Share knowledge and contribute to a culture of continuous improvement.

Bonus Responsibilities

• Full Stack Development
• Develop modern, responsive user interfaces using React and Next.js.
• Deliver features across the full software stack, from database through to user experience.
• Monitor application health and performance using modern observability tooling.

• Commercial experience developing production software using Node.js and TypeScript.
• Strong understanding of REST APIs and distributed systems.
• Experience working with PostgreSQL or other relational databases.
• Familiarity with AWS cloud services.
• Experience using Git and modern CI/CD pipelines.
• Strong understanding of software engineering best practices, testing and code quality.
• Excellent problem-solving and debugging skills.
• Strong communication skills and experience working within Agile teams.

Nice to have

• Infrastructure as Code using Terraform.
• Docker and Kubernetes.
• Event-driven or microservices architectures.
• Observability platforms such as Datadog, New Relic or OpenTelemetry.
• Experience building healthcare or other regulated software.
• Knowledge of AI-assisted development tools and modern engineering workflows.

Desirable - Full Stack Experience

• Experience building modern frontend applications using React.
• Experience with Next.js.

Behaviours and Culture Add, not just Culture Fit

Care is at the heart of who we are - in how we support patients, and in how we treat each other as colleagues. We believe the way we show up for each other is just as important as what we do. Skills matter, but it’s our mindset, behaviours and willingness to learn, adapt and improve that protect the supportive culture we’ve built, and help us thrive together. Below are behaviours we value, with a few of our principles.

Why join us

• The opportunity to build technology that genuinely improves people’s lives.
• A collaborative engineering culture focused on quality and continuous improvement.
• Hybrid working with a modern engineering team in the UK and India.
• Opportunities to influence architecture, engineering standards and technical direction.
• Professional development and continuous learning.
• Competitive salary and benefits., * Share the Context - Bring people in to the ‘why, not just the ‘what’.
• Move with Care - Move fast where it’s safe - and slow down where trust, wellbeing or clinical decisions demand extra attention.
• Prove then Improve - Move Quickly, but don’t rely on hunches.
• Partner with Integrity - Be true to your word

What you can expect from us

• Competitive salary
• Hybrid working in our Canary Wharf Office - 3 days per week.
• 33 days holiday (including UK public holidays)
• Team get-togethers
• A paid day off for your Birthday
• Office equipment on joining
• £500 Stipend to help set up your Home Office
• £500 Yearly Professional Development Fund

CARE ADHD began as a small team with big ambitions, and has since grown into a global organisation supporting thousands of people across the UK and India. Though our teams are continents apart, we’re united by one mission: to make high quality neurodevelopmental care accessible to everyone who needs it.

We’re transforming private healthcare by making ADHD assessment and treatment more affordable, more personal and easier to access. Our client-centred approach, lean methodology and commitment to continuous improvement shape everything we do. We embrace rapid learning, experimentation and our ‘fail fast’ ethos because we know innovation is the engine of better care.

What drives us is simple: opening a world of possibility for different minds. Neurodevelopmental support, when done well, is one of the highest-impact interventions in healthcare. The right care gives people more agency, more stability and the chance we all deserve: to thrive and be happy.

We’re here to make that happen for as many people as we can.

If you join us, you become part of that story. We’ll make sure you feel supported, trusted and empowered to do your best work. There’s still plenty for us to learn, but we promise curiosity, collaboration and a lot of fun as we puzzle things out together. When talented people are given space to grow, extraordinary things happen - and we can’t wait to see what you help us achieve., At Care ADHD, we’re committed to building a diverse and inclusive environment. We encourage applications from candidates of all backgrounds, especially those from historically marginalised communities, as we work together to create a more equitable future.