Backend Engineer - Regulated SaaS for Health AI, On-Site

Machine Medicine; Greater London; On-site; GBP 90,000 - 120,000; Full time

Benefits offered by this job

Competitive compensation

Impactful digital health problems

Fast-paced, collaborative culture

Job summary

Machine Medicine is a med-tech company leveraging AI to power video-based motor assessments. We seek a Backend Developer to design, build and maintain our cloud infrastructure and deployment pipelines, ensuring reliability, security and scalability for AI-driven clinical research.

This hands-on startup role covers backend development, production support, CI/CD pipelines, cloud infra, and secure coding practices.

Qualifications

• At least 5 years of commercial software development experience.
• Experience with TypeORM or similar ORM/data-access approaches.
• Strong production PostgreSQL experience.
• Experience designing and maintaining REST APIs.
• Hands-on experience with GitHub, CI/CD pipelines and deployment workflows.
• Working knowledge of AWS and/or GCP.
• Ability to work with Terraform or similar IaC tooling.
• Strong understanding of application security and data protection.

Responsibilities

• Build, maintain and support backend services using TypeScript, NestJS and TypeORM.
• Develop REST APIs and service-based backend components.
• Work with PostgreSQL including schema design, migrations and data integrity.
• Support production systems with monitoring, incident response and post-mortems.
• Maintain and improve GitHub-based CI/CD pipelines and deployment workflows.
• Work with Terraform and cloud infrastructure across AWS and/or GCP.
• Ensure secure configuration, secrets management, access control and audit logging.
• Collaborate on authentication and authorization using Keycloak.
• Write clean, tested, production-ready code.
• Document backend systems and deployment processes where needed.

Skills

Typescript

NestJS

PostgreSQL

REST APIs

CI/CD pipelines

AWS

GCP

Terraform

Security best practices

OAuth2 / Keycloak

Tools

TypeORM

GitHub

CI/CD tools

Terraform (as code)

Job description

Machine Medicine is a med-tech company leveraging AI to power video-based motor assessments. We seek a Backend Developer to design, build and maintain our cloud infrastructure and deployment pipelines, ensuring reliability, security and scalability for AI-driven clinical research.

This hands-on startup role covers backend development, production support, CI/CD pipelines, cloud infra, and secure coding practices.