Note: The job is a remote job and is open to candidates in USA. Paloma Health is dedicated to transforming access to autism and ADHD care for children in the NHS. As a Fullstack Software Engineer, you will enhance the Paloma Portal, an AI-powered patient pathway and Electronic Patient Record software, ensuring families receive timely assessments and supporting clinicians in their work.
Responsibilities
- Collaborate with cross-functional teams, including engineering, product, clinical, and support, to develop and implement the company's technical vision. This includes:
- 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
- Developing complex interfaces using ReactJS and TypeScript
- Develop, deploy, and maintain scalable, resilient cloud-native applications on platforms such as AWS or GCP
- Translating 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
Skills
- 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
- 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
- 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
Benefits
- Annual salary reviews, ensuring they are competitive
- 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
- 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
- A premium performance company laptop
- NHS discounts, including the Blue Light Card (as we are an NHS provider).
- Protected time and budget for team connection, learning, and community-building.
- Quarterly development conversations and clear career progression pathways.
Company Overview