Senior Backend Engineer, Clinical Automation – London Equity

Asterix Health; Greater London; On-site; GBP 77,000 - 94,000; Full time

Benefits offered by this job

Private health & dental (Bupa)

Equipment provided

Job summary

Asterix Health in London (Onsite) is building DoctorOS to augment clinicians with AI. We seek a Senior Backend Engineer, Clinical Automation, to own bots, data pipelines and backend services that move data, ensure safety and auditability, and integrate with NHS GP systems.

You will choose between low-code RPA and code-first automation, shape the platform’s data contracts, and collaborate with doctors, product and AI engineers to scale automation end-to-end.

Qualifications

• Strong backend experience with Python in production.
• Experience designing and owning APIs and backend services.
• Solid understanding of data modeling, async systems, and reliability.
• Product instincts and good judgment around performance and safety.
• Comfort collaborating across frontend, product, and clinical teams.

Responsibilities

• Own and evolve automation for clinical systems and data pipelines (RPA, APIs, ETL).
• Design for reliability: retries, idempotency, observability and audits.
• Decide when to use low-code vs code-first automation and lead migrations.
• Work with FHIR-based clinical data and NHS integrations as they come online.
• Own workflow orchestration and the contract between automation and the platform.

Skills

Python (production)

APIs design

Data modeling

Async systems

Cross-functional collaboration

Tools

AWS

Supabase

FHIR

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Job description

Asterix Health in London (Onsite) is building DoctorOS to augment clinicians with AI. We seek a Senior Backend Engineer, Clinical Automation, to own bots, data pipelines and backend services that move data, ensure safety and auditability, and integrate with NHS GP systems.

You will choose between low-code RPA and code-first automation, shape the platform’s data contracts, and collaborate with doctors, product and AI engineers to scale automation end-to-end.