Full Stack Engineer

Full Health Medical; Greater London; Hybrid; GBP 65,000 - 95,000; Full time

Job summary

Full Health Medical is seeking a hands-on Full Stack Engineer to design, build and operate distributed systems that process healthcare data at scale. You will work across frontend, backend, APIs and infrastructure, integrating with third-party platforms and cloud services to deliver secure, scalable software.

You will contribute to architectural decisions, own features from implementation to production, and drive reliability and performance in a modern, regulated healthcare environment.

Qualifications

• Significant commercial experience building modern web and backend applications.
• Proficient with Next.js.
• Proficient with TypeScript / Node.js.
• Experience with NestJS or similar backend frameworks.
• Proficient in PostgreSQL.
• Experience with AWS.
• Experience with Kubernetes.
• Strong understanding of REST APIs, authentication and security.
• Experience with CI/CD and modern software delivery practices.
• Experience using AI-assisted software development tools.
• Experience working with healthcare or other regulated industries (desirable).
• Experience with FHIR R4/R4B and HL7 v2 interoperability standards (desirable).
• Experience with event-driven architectures (desirable).
• Experience with Infrastructure as Code (desirable).

Responsibilities

• Design, build and maintain distributed web applications and backend services.
• Develop features across frontend, backend, APIs and infrastructure.
• Integrate with third-party vendor platforms, healthcare systems and open-source technologies.
• Design scalable APIs and data models.
• Build and operate cloud-native services on AWS and Kubernetes.
• Drive software quality through testing, observability and operational excellence.
• Contribute to architectural decisions while remaining actively involved in implementation.
• Troubleshoot production issues and improve system reliability and performance.

Skills

Next.js

TypeScript

Node.js

NestJS

PostgreSQL

AWS

Kubernetes

REST APIs

CI/CD

AI-assisted tools

Job description

About the Role

We’re looking for a Full Stack Engineer to help build the next generation of Full Health Medical’s platform. This is a hands-on engineering role where you’ll design, build and operate distributed systems that process healthcare data at scale.

You’ll work across the full technology stack, integrating with third-party platforms, cloud services and open-source technologies to deliver resilient, secure and scalable software.

What You’ll Do

• Design, build and maintain distributed web applications and backend services.
• Develop features across frontend, backend, APIs and infrastructure.
• Integrate with third-party vendor platforms, healthcare systems and open-source technologies.
• Design scalable APIs and data models.
• Build and operate cloud-native services on AWS and Kubernetes.
• Drive software quality through testing, observability and operational excellence.
• Contribute to architectural decisions while remaining actively involved in implementation.
• Troubleshoot production issues and improve system reliability and performance.

Skills & Experience

Essential

• Significant commercial experience building modern web and backend applications.
• Strong experience with:
  • Next.js
  • TypeScript / Node.js
  • NestJS or similar backend frameworks
  • PostgreSQL
  • AWS
  • Kubernetes
• Experience working with distributed systems and cloud-native applications.
• Experience integrating with third-party APIs, commercial SaaS products and open-source technologies.
• Strong understanding of REST APIs, authentication and application security.
• Experience with CI/CD and modern software delivery practices.
• Experience using AI-assisted software development tools.

Desirable

• Experience working in healthcare or other regulated industries.
• Experience working with FHIR R4/R4B and HL7 v2 healthcare interoperability standards.
• Experience with event-driven architectures.
• Experience with Infrastructure as Code.

What We’re Looking For

You’ll be someone who:

• Contributes to the design of scalable and maintainable systems, working collaboratively on architectural decisions.
• Takes ownership of features from implementation through to production, with a strong operational mindset.
• Is comfortable working across multiple languages, frameworks and technology stacks.
• Quickly understands unfamiliar codebases and third-party systems.
• Makes pragmatic engineering decisions that balance quality, speed and long-term maintainability.
• Builds secure, reliable software by default.
• Writes clean, well-tested and maintainable code.
• Enjoys solving complex technical problems.
• Communicates effectively and collaborates well across engineering and product teams.