Senior Software Engineer – Clinical AI

The Opportunity

We are an Imperial College London med tech spinout building AI-powered clinical decision-support tools certified as Software as a Medical Device (SaMD). Our platform uses real-world EHR data to identify patients at risk of preventable harm — giving NHS clinicians time to act.

We are a small, high-ownership team operating at the intersection of clinical AI and healthcare infrastructure. This is a foundational engineering hire with a clear path to Head of Engineering as we scale.

The Role

You will own and shape the technical core of a live clinical AI platform — working across backend services, ML infrastructure, and hospital data integrations. You will have a direct line to the CTO and CEO from day one, with real influence over architectural decisions on a system processing real patient data across NHS trusts.

What You'll Do

🔹 Own and extend the backend and ML infrastructure of a production SaMD system

🔹 Design and implement integrations with hospital systems (EHR, HL7/FHIR), including partnerships with major healthcare data platforms

🔹 Build and maintain Python/Azure-based services — APIs, data pipelines, monitoring and audit frameworks

🔹 Write software that meets medical device quality standards, producing artefacts that support regulatory submissions

🔹 Collaborate with clinical, data science, and regulatory stakeholders

🔹 Help define engineering culture and processes as the team grows around you

What We're Looking For

✅ 5+ years of professional software engineering experience with a strong Python background

✅ Proven experience building and operating production services on Azure or AWS

✅ Comfort with data-heavy systems — pipelines, databases, REST APIs — and a taste for clean architecture

✅ Strong written communication; able to document work to regulatory audit standard

Nice to Have

⭐ Experience in a regulated software environment (medical devices, fintech, defence, or similar)

⭐ Familiarity with FHIR/HL7 or clinical EHR systems

⭐ Exposure to ML model deployment or monitoring in production

Tech Stack

Python · Azure · Terraform · Docker · ML Pipelines · FHIR / HL7 · GitHub Actions

What's on Offer

💰 Competitive renumeration package, depending on experience

🏖️ 25 days annual leave + bank holidays

🏥 Access to clinical and academic networks

🔀 Flexible hybrid working, London base

Growth Path

As we move through our next funding round and scale clinical deployments, the expectation is that you grow into Head of Engineering or equivalent — owning technical strategy, building a team, and sitting at the table for product, regulatory, and commercial decisions.