Senior Backend Engineer - Clinical Automation (Rpa)

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

n8n

Job description

What we offer

Compensation starting at: £85,000+ with generous equity
Location: Onsite in Shoreditch, London
Benefits: Private health + dental by Bupa, all equipment covered

Asterix Exists for One Reason

To fix the biggest problem in healthcare: there are not enough doctors, and the system can no longer keep up. Millions of patients wait weeks for appointments. Millions more are stuck on hospital waitlists. Health conditions that can be prevented are missed and go unnoticed and we at Asterix are building the only scalable solution.

A new model of care where highly-qualified doctors are augmented by AI: safely, consistently, and measurably. The DoctorOS, our emerging clinical platform, is becoming the backbone of modern healthcare delivery. We combine rigorous clinical leadership, technology adapted for real-world care, and AI tooling that makes doctors 10x more productive.

We are backed by Entrepreneur First, recently closed an oversubscribed funding round, and live with some of the largest healthcare providers in the UK, generating revenue and expanding fast.

Your Mission: Connect Clinical AI to the Real NHS

AI is only useful to a doctor if it can see the patient's record and act inside the systems GP practices already run on. In UK primary care those systems are EMIS Web, SystmOne and Docman, and most of them have no modern API that does what we need.

Today we bridge that gap with a mix of RPA bots, workflow automation and FHIR integrations. Bots running inside the NHS network pull worklists, lab results and documents from GP systems and hand them to DoctorOS, which syncs the full clinical record and puts it in front of our doctors. It works, it is live across multiple practices, and it is the part of our stack with the most room to become excellent.

As our Senior Backend Engineer, Clinical Automation, you will own this whole path end to end: the bots that operate clinical systems, the pipelines that move data into our platform, and the backend services that make it reliable, auditable and safe. You will also help shape where it goes next, from low-code RPA towards code-first automation and, as they arrive, official integrations such as IM1.

This is a founding-level role. We have real RPA running in production but no dedicated owner for it. You will be that person.

You Will Own

Clinical System Automation (RPA)

• Own and evolve our automation estate that operates EMIS Web, SystmOne and Docman: report extraction, worklist pulls, document handling and, over time, safe write-back.

• Make bots robust: deterministic, idempotent, observable and easy to recover when a clinical system UI changes or a session drops.

• Decide where low-code RPA (UiPath today) is the right tool and where code-first automation (Python, TypeScript, Playwright or desktop automation frameworks) serves us better, and lead that migration pragmatically.

• Evaluate AI-assisted and computer-use automation with a clear eye: use it where it speeds up building, keep production paths deterministic and audited.

Backend and Data Pipelines

• Build and maintain the services that bots hand work to: queues, webhooks, ingestion APIs and sync workers on AWS (Lambda, SQS, S3, EventBridge) and Supabase (PostgreSQL).

• Design for the messy reality of automation: duplicate submissions, retries, partial failures, outages at a single practice, and backlogs that must drain safely.

• Own workflow orchestration (n8n today) and the contract between automation and the platform, so neither side can break the other silently.

• Work with FHIR-based clinical data from GP systems, and help prepare for official GP system integrations as they come online.

Infrastructure, Connectivity and Security

• Own the environments bots run in: Windows virtual machines, NHS network (HSCN) connectivity, VPNs, credentials and secrets.

• Lock them down properly: least-privilege access, no public attack surface, audited robot identities, and secrets that rotate without drama.

• Build monitoring and alerting so we know a bot has stopped before a clinician notices missing data.

Clinical Safety and Compliance

• Work with our clinical safety team to make sure automation meets NHS expectations: DCB0129/DCB0160, DSPT, data protection and auditability.

• Document how each automation behaves and fails, so clinical risk is understood rather than assumed.

Cross-Functional Collaboration

• Partner closely with our doctors, operations team, product and AI engineers to find the manual clinical and admin workflows worth automating next.

• Onboard new GP practices onto our automation quickly and repeatably.

• Act as a multiplier: turn today's tribal knowledge into systems, runbooks and standards the whole team can rely on.

Who You Are

We don’t care about pedigree. We care about what you’ve built and how you think

You’ll be a great fit if you have:

• 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

Nice to have (not required):

• Experience working with AI-powered features or LLM APIs

• Familiarity with regulated or high-trust environments

• Startup or founding-team experience

• Some frontend experience (React/TypeScript)

You Also Bring

• A strong sense of ownership: you care about whether the doctor has the right data at 8am, not just whether the bot ran.

• Pragmatism: you know when a bot is the right answer, when an API is, and when to delete an automation entirely.

• Calm under operational pressure: when a VPN drops or a clinical system changes overnight, you diagnose, fix and prevent it happening again.

• A collaborative mindset, working shoulder to shoulder with engineers, clinicians and operations.

• Comfort operating in ambiguity and building from first principles.

• Curiosity, and a bias toward action in an early-stage environment.

Culture – The Asterix Way

Humble

We assume we’re wrong until the data or a clinician proves otherwise. We default to curiosity. We ask questions. We help each other level up.

High-intensity - Founder mentality - No corporate wannabe’s

You don’t wait for permission. You push problems to resolution. You act like an owner of the mission, the codebase, the infrastructure, and the culture.

Solving one of society’s biggest problems won't happen in a 9-to-5. We need our team to understand we will always ask for that little bit extra. We work hard, but with intention.

Joyful energy

We take the work seriously but not ourselves. We laugh a lot. We celebrate the small wins. We show up with energy, optimism, and kindness, and back each other completely.

If you bring enthusiasm and momentum, you’ll fit right in.

In-person by design

We work together, shoulder-to-shoulder in London. This makes us faster, tighter, and better and it makes the journey more fun.

Why Join Now

Because you want to do the most meaningful, high-leverage work of your career early enough that your fingerprints are on everything.

This role lets you:

• Build the bridge between clinical AI and the systems the NHS runs on today

• Turn fragile, manual workflows into automation clinicians can trust

• Own a critical part of the platform that doctors and patients rely on every day

• Learn faster than anywhere else

• Earn meaningful equity while shaping the company from day one

If you want to make clinical AI work in the real world, not just in a demo, this is it.