Senior Backend Engineer (B2B SaaS HealthTech)

Salary: 100 000 + EQUITY

Industry: B2B SaaS HealthTech

Contract: full time

LOCATION: Elephant & Castle

Information on the company

Independent physician practices in the USA provide exceptional care, yet they operate within a fragmented healthcare system marked by opaque pricing, administrative complexity, and limited leverage against large insurers. Our client is building the infrastructure for independent medicine in the United States, creating the data, software, and operational backbone that enables these practices to succeed on their own terms.

At the heart of this work is a large-scale healthcare data platform that brings together diverse sources into a single unified system. These sources include public datasets, practice operations data, regulatory information, pricing signals, and quality metrics. Built on top of this foundation is a direct contracting marketplace where:

  • independent physician practices can set transparent prices for procedures

  • employers can compare providers based on both cost and quality

  • contracts and transactions happen directly between employers and providers

The mission is straightforward: reduce costs for employers while improving reimbursement, independence, and long-term sustainability for physician practices. They believe in clear communication, practical systems, thoughtful design, and long-term thinking. Their tone is warm, grounded, and confident  never corporate, and never clinical.

ABOUT THE ROLE…

THIS IS NOT FOR YOU IF…

  • You want to focus purely on AI model research rather than building production systems

  • You prefer working on isolated technical problems rather than integrating complex real world systems

  • You are uncomfortable working with messy real world datasets that require structuring and normalization

  • You want highly rigid specifications rather than working iteratively with product, operations, and leadership

  • You avoid industries where compliance, auditability, and real operational impact are critical

WHAT YOU’LL DO

  • Build backend systems that ingest, structure, and manage large healthcare datasets from many sources

  • Design and maintain data pipelines that normalize and unify complex healthcare data

  • Develop APIs and services that power internal tools and marketplace infrastructure

  • Build systems that generate pricing intelligence and provider insights from large datasets

  • Help design and implement quality scoring and benchmarking frameworks for independent practices

  • Contribute to backend systems supporting employer and provider transactions on the marketplace

  • Develop AI assisted tools that help structure data, automate workflows, and generate operational insights

  • Work closely with product, operations, and leadership to translate real world healthcare problems into software systems

  • Design systems with reliability, transparency, and auditability from the start

  • Take ownership of backend architecture that will support the long term growth of the platform

The ideal candidate…

  • Has 3 or more years of experience in software engineering, ideally with a backend or data infrastructure focus

  • Is comfortable working with large structured and unstructured datasets

  • Has experience building data pipelines, APIs, and integration layers

  • Brings strong programming skills in Python, TypeScript, or similar languages

  • Has experience working with LLMs or AI orchestration frameworks

  • Understands how to build systems with reliability, transparency, and auditability

  • Can collaborate closely with non technical teams to translate operational workflows into software systems

  • Thrives in early stage environments where ownership, speed, and clarity are essential

Why work here?

  • The opportunity to help build one of the most useful healthcare data platforms supporting independent physician practices

  • We love building together and this role would be based in London face-to-face with the team

  • Ownership of core infrastructure that powers pricing intelligence and marketplace transactions

  • A thoughtful, ambitious team that values pragmatism, clarity, and long term thinking

  • Backed by leading USA VCs

  • X 2 Offsites per year in sunny climates 

ADDITIONAL NOTES

  • You will be joining a team of engineers who are distributed across, London, Montréal, Ottawa, and Vancouver.

  • The team currently is growing as the company  expands its data platform and marketplace capabilities.

  • Occasional travel to the United States or Canada may occur for team collaboration or product initiatives.

INTERVIEW PROCESS

  • Chat with TableCrowd Talent team (video 30 mins)

  • Video submission of a short loom video (max 10 mins) OR written example of systems you have built such as

    • built a data pipeline

    • unified multiple datasets into a usable system

    • automated a complex operational workflow

  • Office interview with the team, including video interview with Canadian based engineers

  • Final round video interview with Co Founder