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.

Mark and Darshak founded Paloma due to their frustration that families are waiting 4-10 years for NHS children’s autism and ADHD assessments. This crisis in NHS children’s neurodevelopmental services has been highlighted by the Children’s Commissioner for England.

Since launching, 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
• 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
• Achieved financial sustainability

How is Paloma Health different from other Neurodevelopmental providers?

• Our clinical quality: We are clinically led, Care Quality Commission (CQC)- registered, measure our outcomes, and continuously improve our pathway for families and clinicians.
• Our internal product & engineering team, who build fantastic software to give families a fantastic consumer-like experience of healthcare and free our clinicians from documentation to focus on supporting families
• Our strong culture: including transparency, a sense of community, and supporting staff career development
• The experience of our founders, Dr Mark Jenkins & Darshak Shah: who have previously built tech-enabled NHS obesity and ophthalmology services.

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. 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. 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.

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)
• Building event-driven systems.
• SQL and management of SQL databases in a cloud environment.
• Automating complex processes and user journeys.
• 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.

Why join Paloma?
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
• 5% employer pension contribution
• Equity compensation through Share Options in Paloma Health
• Private Medical Insurance
• Employee Assistance Programme
• Home Office Equipment Allowance
• 37 days of annual leave (including bank holidays and birthday)
• A premium performance company laptop
• NHS discounts, including the Blue Light Card

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.

Safer Recruitment & Pre-Employment Checks: Paloma Health ensures that supporting people to be safe is at the heart of our work. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check.

Application process
Please Apply via the company portal. We look forward to reviewing your application.