Senior Back End Engineer

Care ADHD

Greater London

Hybrid

GBP 55,000 - 75,000

Full time

14 days+

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Job summary

CARE ADHD is seeking a skilled backend engineer to design, build and evolve the applications that power our platform, with Node.js and TypeScript across UK-based teams.

You'll collaborate with Product Managers, Designers and QA across the UK and India to deliver secure, scalable solutions that improve patient care, while contributing to architecture decisions and engineering standards in a hybrid Canary Wharf office setup.

Qualifications

Commercial experience developing production software using Node.js and TypeScript.
Strong understanding of REST APIs and distributed systems.
Experience working with PostgreSQL or other relational databases.
Familiarity with AWS cloud services.
Experience using Git and modern CI/CD pipelines.
Strong understanding of software engineering best practices, testing and code quality.

Responsibilities

Design, build and maintain scalable backend services using Node.js and TypeScript.
Build secure RESTful APIs and integrate with internal and third‑party services.
Write clean, maintainable and well‑tested code; participate in code reviews.
Help improve engineering standards, tooling and development practices; contribute to CI/CD pipelines.
Build secure applications with modern authentication and authorization; ensure GDPR and healthcare security requirements.

Skills

Node.js

TypeScript

REST APIs

PostgreSQL

AWS

Git

CI/CD

Agile

Security

Distributed systems

Tools

Docker

Kubernetes

Terraform

Datadog

Job description

Salary: £55,000 - £75,000
Reports to: Director of Engineering
Team / Function: Engineering Team
Location / Working model: UK, Hybrid. Up to three days per week in Canary Wharf and Remote days based in the UK.
Ideal start: ASAP
Applications close: 9th September (please note that this vacancy may close early if we receive a high volume of applications)

About CARE ADHD

CARE ADHD began as a small team with big ambitions, and has since grown into a global organisation supporting thousands of people across the UK and India. Though our teams are continents apart, we’re united by one mission: to make high quality neurodevelopmental care accessible to everyone who needs it.

We’re transforming private healthcare by making ADHD assessment and treatment more affordable, more personal and easier to access. Our client‑centred approach, lean methodology and commitment to continuous improvement shape everything we do. We embrace rapid learning, experimentation and our ‘fail fast’ ethos because we know innovation is the engine of better care.

What drives us is simple: opening a world of possibility for different minds. Neurodevelopmental support, when done well, is one of the highest‑impact interventions in healthcare. The right care gives people more agency, more stability and the chance we all deserve: to thrive and be happy.

We’re here to make that happen for as many people as we can.

If you join us, you become part of that story. We’ll make sure you feel supported, trusted and empowered to do your best work. There’s still plenty for us to learn, but we promise curiosity, collaboration and a lot of fun as we puzzle things out together. When talented people are given space to grow, extraordinary things happen - and we can’t wait to see what you help us achieve.

Purpose of the Role

One‑line purpose:

You’ll play a key role in designing, building and evolving the applications and services that power our platform, working across back end technologies.

This role sits within our Engineering Team.

And works closely with Product Managers, Designers, QA Engineers and our Engineering teams in both the UK and India to deliver secure, scalable solutions that directly improve patient care.

Primary impact:

As a healthcare platform, quality, reliability and security are fundamental. You’ll help build software that protects sensitive patient data while providing fast, intuitive and resilient digital experiences.

Why join us

The opportunity to build technology that genuinely improves people’s lives.
A collaborative engineering culture focused on quality and continuous improvement.
Hybrid working with a modern engineering team in the UK and India.
Opportunities to influence architecture, engineering standards and technical direction.
Professional development and continuous learning.
Competitive salary and benefits.

Core Duties and Responsibilities

Back End Development

Design, build and maintain scalable backend services using Node.js and TypeScript.
Build secure RESTful APIs and integrate with internal and third‑party services.

Engineering Excellence

Write clean, maintainable and well‑tested code.
Participate in code reviews and architectural discussions.
Help improve engineering standards, tooling and development practices.
Contribute to automated testing and CI/CD pipelines.

Security & Quality

Build secure applications using modern authentication and authorisation approaches.
Ensure solutions meet GDPR and healthcare security requirements.
Consider security and privacy throughout the software development lifecycle.

Collaboration

Work closely with Product Managers to understand business requirements.
Collaborate with engineers across the UK and Bangalore.
Participate in Agile ceremonies including planning, refinement, reviews and retrospectives.
Share knowledge and contribute to a culture of continuous improvement.

Bonus Responsibilities

Full Stack Development
Develop modern, responsive user interfaces using React and Next.js.
Deliver features across the full software stack, from database through to user experience.
Monitor application health and performance using modern observability tooling.

To Thrive in this Role, You’ll need

Core skills and Experience

Commercial experience developing production software using Node.js and TypeScript.
Strong understanding of REST APIs and distributed systems.
Experience working with PostgreSQL or other relational databases.
Familiarity with AWS cloud services.
Experience using Git and modern CI/CD pipelines.
Strong understanding of software engineering best practices, testing and code quality.
Excellent problem‑solving and debugging skills.
Strong communication skills and experience working within Agile teams.

Nice to have

Infrastructure as Code using Terraform.
Docker and Kubernetes.
Event‑driven or microservices architectures.
Observability platforms such as Datadog, New Relic or OpenTelemetry.
Experience building healthcare or other regulated software.
Knowledge of AI‑assisted development tools and modern engineering workflows.

Desirable - Full Stack Experience

Experience building modern frontend applications using React.
Experience with Next.js.

Behaviours and Culture Add, not just Culture Fit

Care is at the heart of who we are - in how we support patients, and in how we treat each other as colleagues. We believe the way we show up for each other is just as important as what we do. Skills matter, but it’s our mindset, behaviours and willingness to learn, adapt and improve that protect the supportive culture we’ve built, and help us thrive together. Below are behaviours we value, with a few of our principles.

Kindness - treat colleagues and clients with respect and care.
Transparency - communicate openly to build trust.
Reflection - learn from experience and adapt.
Growth mindset - welcome feedback and challenges.
Accountability - own outcomes and learn from mistakes.
Solution‑seeking - focus on constructive ways forward.
Collaboration - share ideas and celebrate collective success.
Assume Good Intent - Stay open, not cynical.
Share the Context - Bring people in to the ‘why, not just the ‘what’.
Move with Care - Move fast where it’s safe – and slow down where trust, wellbeing or clinical decisions demand extra attention.
Prove then Improve - Move Quickly, but don’t rely on hunches.
Partner with Integrity - Be true to your word