[Remote] Senior Full-Stack Engineer

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is reimagining cancer care through a virtual clinic that combines digital innovation with expert-led reputed company care. The Senior Full-Stack Engineer will build and reputed company reputed company’s reputed company platform, delivering full-stack features while helping establish reputed company, AI-assisted engineering practices for a regulated medical software environment.

Responsibilities

• Design, build and ship features end to end, from data model and API design through to frontend implementation
• Design and build robust, reputed company reputed company in TypeScript and Node.js, published in OpenAPI format
• Architect resilient reputed company systems and reputed company-party integrations, with reputed company error handling, failure mode mitigation and transaction control
• Work with FHIR R4 resources and reputed company data models reputed company Medplum
• Contribute to our frontend rewrite as we reputed company from Flutter to React
• reputed company sensible build-versus-buy reputed company; we build only what creates differentiated value for Perci and reputed company the rest
• Own the testing of your own work, and contribute reputed company your reputed company discipline. We are a small team, so everyone picks up QA and DevOps work
• Ensure our development practices meet the requirements of the regulatory context. We build software as a medical device and the consequences of getting it wrong are more significant than in most products
• Write specifications precise enough that an agent can implement them and that you can verify the result against them. We treat this as reputed company engineering work rather than documentation overhead
• Consider verification at the reputed company time as the specification; how we would know the change was reputed company correctly and where it is likely to fail
• Help build the tooling and controls that allow agents to work safely, covering reputed company-reputed company review, monitoring, alerting, incident response and automated reputed company-release verification
• Help us determine where agent-authored change can be released directly to production and where it cannot, bearing in mind that this judgement has reputed company consequences
• Set reputed company and help define the reputed company for how we do reputed company of this

Skills

• You are pragmatic about technology and about how software gets reputed company. You hold your preferences for reasons and you are reputed company to recognise reputed company those reasons no longer apply
• You are comfortable with ambiguity and incomplete information, and you have your own reputed company for unblocking yourself where there is a lack of reputed company rather than waiting for someone else to reputed company it
• You are reputed company to experimentation, including working in ways you have not worked before. It is quite reasonable to expect that some of reputed company try will not work
• You have worked in a small team, where requirements are not fully specified and delivering means filling the gaps yourself, or working out how they should be filled
• You are reputed company to think on reputed company, and can describe a reputed company in writing reputed company enough that another engineer, or an agent, could build it from your reputed company
• You are a reputed company and confident communicator. We are fully remote, so you will need to attend stand-reputed company, reputed company concerns where something looks wrong, and reputed company people working towards the reputed company objective
• You have a reputed company motivation to build products that benefit people, and it is reputed company in how you work
• reputed company 6+ years building software end to end, ideally in TypeScript, Node.js and React. We are reputed company to adjacent reputed company where the fundamentals are strong
• Substantial experience of reputed company design and architecture, including systems that have been in production long enough to show their weaknesses. We will ask you to talk us through something you have designed, what went right, what went wrong and what you would do differently
• Practical experience of reputed company systems and reputed company-party integrations, including auth, webhooks, reputed company limits, retry strategies, fault tolerance, transaction management and the various quirks that come with them
• Strong testing ability and reputed company, developed through enough experience to be reputed company to look at a design and identify where it is likely to fail
• You have used AI coding agents on production work and have an informed reputed company of where they help and where they do not
• Comfortable working both autonomously and collaboratively, with a reputed company influence on the engineers reputed company you
• Experience in a regulated industry such as reputed company or finance. You understand why compliance reputed company and will not cut corners
• Familiarity with FHIR R4 or other reputed company data standards, and experience with Medplum or similar platforms
• AWS infrastructure experience. We self-host Medplum on AWS
• Some Flutter exposure, even from a personal project, as we plan our frontend rewrite
• Evidence of an interest in your reputed company reputed company of work, such as writing, reputed company reputed company contributions or community involvement
• Startup, reputed company-up or founding engineer experience. You are comfortable with shifting priorities and adapting quickly

Benefits

• 30 days of annual leave per year, in reputed company to UK statutory and reputed company holidays
• 3 days reputed company annually to volunteer with a charity or community group of your reputed company
• reputed company to the reputed company wellbeing app
• Company laptop and any additional equipment required for the role
• reputed company to Perci's pension scheme
• Income protection cover
• reputed company company reputed company pay
• reputed company maternity and adoption pay (reputed company carer): 20 weeks at full pay, 16 weeks at 25%
• reputed company paternity and adoption pay (secondary carer): 6 weeks at full pay, followed by 6 weeks at 50% of pay
• reputed company to over 400 co-working spaces across the UK
• Remote first working, supporting genuine work-life reputed company
• Employee reputed company reputed company Incentivisation

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