Backend Developer

OrganOx, Inc.; Oxford; On-site; GBP 70,000 - 110,000; Full time

Benefits offered by this job

Healthcare

Retirement plans

Work-life balance

Job summary

OrganOx is seeking a Backend Developer to join the Digital team in Oxford. You will design, develop and maintain secure cloud-based services, APIs, and databases supporting OrganOx digital products with direct impact on clinical outcomes.

This on-site role, with flexibility, emphasizes regulated medical device software lifecycle, quality controls, and collaboration with internal and external teams. Strong C#, .NET, Azure experience and a passion for reliable systems are essential.

Qualifications

• Experience as software engineer in a commercial delivery team.
• Proficient with Microsoft technologies: C#, .NET, SQL Server, Azure.
• Experience designing RESTful APIs, microservices, distributed systems.
• Knowledge of database design, performance tuning, data modelling.
• Familiar with DevOps, CI/CD, and automated testing.
• Containerisation with Docker and orchestration with Kubernetes desirable.
• Experience in regulated medical device or healthcare environments desirable.

Responsibilities

• Design, develop, and maintain backend services, APIs, databases, and Azure cloud-native solutions.
• Work with relational and non-relational databases to support requirements.
• Develop automation, CI/CD pipelines, IaC, and DevOps workflows.
• Create unit and integration tests and contribute to quality reviews.
• Collaborate with Product Owners and Analysts to refine requirements and technical specs.
• Ensure timely delivery per quality, regulatory, cybersecurity, and data protection standards.
• Document architecture, traceability, risk controls, and quality records.
• Support monitoring, troubleshooting, and controlled releases.
• Develop understanding of OrganOx products and impact on patients’ lives.
• Adhere to OrganOx Code of Conduct and company policies.

Skills

Backend development

C# / .NET

RESTful APIs

Microservices

Database design

API security

DevOps

CI/CD

Unit testing

Agile / regulated

Education

Bachelor's degree in Computer Science

Tools

Docker

Kubernetes

Azure DevOps

Terraform

Job description

ABOUT ORGANOX:

OrganOx is a commercial stage organ technology company dedicated to developing technologies to improve outcomes for patients with acute or chronic organ failure. The company was established as a spin out of the University of Oxford in 2008 and is now part of the Terumo Group. OrganOx is a pioneer in normothermic machine perfusion (NMP). It’s flagship platform, the metra®, is available for use in the U.S., Europe, Canada, and Australia. It has been utilized in over 7,000 liver transplants to date to keep donor livers in a metabolically active state outside the body enabling longer preservation times and functional assessment of the organ prior to transplant, leading to an increased number of organs available for transplant. Founded in 1921, Terumo Corporation (TSE:4543) strives to fulfil its mission of “Contributing to Society through Healthcare” by providing a comprehensive range of solutions in the fields of therapeutic procedures, hospital operations, and life sciences in more than 160 countries and regions.

ABOUT ORGANOX:

OrganOx is a commercial stage organ technology company dedicated to developing technologies to improve outcomes for patients with acute or chronic organ failure. The company was established as a spin out of the University of Oxford in 2008 and is now part of the Terumo Group. OrganOx is a pioneer in normothermic machine perfusion (NMP). It’s flagship platform, the metra®, is available for use in the U.S., Europe, Canada, and Australia. It has been utilized in over 7,000 liver transplants to date to keep donor livers in a metabolically active state outside the body enabling longer preservation times and functional assessment of the organ prior to transplant, leading to an increased number of organs available for transplant. Founded in 1921, Terumo Corporation (TSE:4543) strives to fulfil its mission of “Contributing to Society through Healthcare” by providing a comprehensive range of solutions in the fields of therapeutic procedures, hospital operations, and life sciences in more than 160 countries and regions.

Position Summary

The Backend Developer is a hands‑on software engineering role within the Digital team, contributing to the delivery of secure, maintainable cloud services and APIs across OrganOx digital platforms. Aligned with Terumo values of integrity, collaboration, respect, and contribution to society through healthcare, the role supports regulated medical device and data solutions developed within OrganOx quality and software lifecycle processes. Working closely with internal stakeholders and external development partners, the Backend Developer designs, develops, tests, documents, and maintains server‑side applications, APIs, databases, and cloud‑based services that underpin OrganOx digital products and have a direct impact on clinical outcomes. This is an on site position in Oxford with flexibility. Listed below are the major responsibilities of the role and a brief description of some of the key tasks to be performed. This list is not totally exhaustive.

Major Responsibilities

• Design, develop, and maintain scalable back‑end services, APIs, integration platforms, databases, and Microsoft Azure cloud‑native solutions to deliver defined requirements across regulated and non‑regulated digital projects
• Work with relational and non‑relational database technologies to support business and product requirements
• Develop automation including build pipelines, DevOps workflows, infrastructure‑as‑code, and business process automation, using source control, code review systems, and modern development tooling to maintain code quality and consistency
• Develop unit, integration, and automated tests and contribute to verification evidence, code quality, and design reviews
• Participate in daily stand‑ups, design reviews, and collaborative team activities with internal and external teams, supporting Product Owners and Business Analysts in refining requirements and technical specifications
• Ensure developments are completed on time and in accordance with agreed quality, regulatory, cybersecurity, and data protection expectations
• Contribute to technical and architecture documentation, traceability, risk controls, and quality records
• Support the monitoring, troubleshooting, optimisation, and controlled release of production systems
• Develop a strong understanding of OrganOx products and their impact on the business and on patients’ lives
• Adhere to the letter and spirit of OrganOx’s Code of Conduct and all other company policies

Skills & Experience

• Professional experience as a software engineer within a commercial delivery team, with current and relevant back‑end development skills
• Strong back‑end development experience centred on Microsoft technologies and platforms, including C#, .NET, SQL Server, and Azure
• Experience designing and developing RESTful APIs, microservices, and distributed systems
• Strong knowledge of database design, optimisation, performance tuning, and data modelling
• Solid understanding of cloud technologies, secure API design, application security, networking concepts, authentication, authorisation, and API‑based architectures
• Experience with DevOps practices including source control, configuration management, build pipelines, continuous integration, and continuous deployment
• Strong understanding of software engineering best practices including Clean Code, SOLID principles, automated testing, and continuous integration
• Excellent problem‑solving skills and the ability to learn new technologies and develop robust solutions
• Strong communication and team‑working skills
• High attention to detail and concern for quality of work
• Experience working with containerisation technologies such as Docker and orchestration platforms such as Kubernetes (desirable)
• Comfortable working within Agile development approaches and controlled software lifecycle processes, ideally in regulated medical device or healthcare environments (desirable)
• Experience developing software within a regulated environment, including awareness of quality system requirements, software lifecycle controls, traceability, verification, validation, and software risk management (desirable)
• Experience with event‑driven architectures, messaging technologies, IoT platforms, telemetry, or scientific systems (desirable)
• Additional experience with Linux, time‑series data, data quality, data analytics, or business intelligence (desirable)

Qualifications

• Bachelor's degree or higher in Computer Science or another STEM related subject, or equivalent experience

Benefits

At OrganOx, we value innovation, evidence, integrity, teamwork, respect, and passion. We offer competitive compensation and comprehensive benefits, including healthcare and retirement plans. We support work‑life balance and provide opportunities for ongoing professional development.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, sexual orientation race, or any other characteristics protected by law.