Senior Backend Engineer - Do Health

MANUAL; Greater London; Hybrid; GBP 90,000 - 130,000; Full time

Benefits offered by this job

Equity

Hybrid work model

Direct access to leadership

Job summary

Do Health in London is hiring a Senior Backend Engineer to join as a founding backend engineer in a small, fast-growing team. This role sits in a hybrid setup with ~3 days in person and direct ownership of key backend features.

You'll work closely with our lead engineer to shape architecture, scale blood-testing infrastructure for the UK and beyond, and build AI-powered personalization systems that improve health outcomes. No middle management, your work is visible and impactful from day one.

Qualifications

• 5–8 years of backend experience with strong fundamentals.
• Experience at a startup or scale-up where you genuinely owned things.
• Architectural thinking and end-to-end technical conversations.
• Track record of shipping reliable systems and foundational infrastructure.
• Comfort with judgement calls in ambiguous situations.
• Confident, purposeful use of AI tools in workflow as a multiplier.

Responsibilities

• Own major backend features end-to-end - design, build, ship, monitor, iterate.
• Shape architecture alongside the lead. Real technical decisions, kept or changed based on what works.
• Scale our blood testing infrastructure across the UK and internationally as we expand.
• Build production AI systems - personalisation engines that act on longitudinal health data at scale.
• Improve reliability, observability, and the foundations that everything else depends on as the product grows.
• Work directly with product, design, and clinical teams. No tickets thrown over walls.

Skills

Backend architecture

System design

Startup/scale-up experience

End-to-end ownership

AI tooling in workflow

Job description

Senior Backend Engineer

Do Health - London, Hybrid (3 days/week in person)

Senior Backend Engineer

Do Health - London, Hybrid (3 days/week in person)

Why this role exists

We're hiring the a Founding Backend Engineer at Do Health - a mobile-first preventative health product co-founded by Dr Rangan Chatterjee, built as an independent startup inside Voy.

Voy is one of the UK's fastest-growing digital health companies (£300M+ revenue, doubling next year, ~2x YoY growth across men's health, metabolic health, menopause, hormonal health, TRT, dermatology and more). Do Health is its next chapter: the first product designed not to treat illness, but to prevent it.

The product combines regular blood tests, longitudinal health data, behaviour-change science and AI personalisation to help people make better lifestyle decisions over time. We already run AI systems in production at a scale very few UK companies match.

You'd join a 10-person team, partnering directly with our lead engineer on the backend. There's no layer of management between you and the work. What you ship in month one is what users get.

What you'll actually do

• Own major backend features end-to-end - design, build, ship, monitor, iterate. Not "contribute to" - own.
• Shape architecture alongside the lead. Real technical decisions, made by you, kept or changed based on what works.
• Scale our blood testing infrastructure across the UK and internationally as we expand.
• Build production AI systems - personalisation engines that act on longitudinal health data at scale.
• Improve reliability, observability, and the foundations that everything else depends on as the product grows.
• Work directly with product, design, and clinical teams. No tickets thrown over walls.

The kind of engineer this works for

You'll Fit If You Have

• 5–8 years of backend experience with strong fundamentals. We care more about depth than years.
• Experience at a startup or scale-up where you genuinely owned things.
• Architectural thinking. You can hold an end-to-end technical conversation about systems you've built — what trade-offs you made, what broke, what you'd do differently.
• A track record of shipping reliable systems. Not just features — the boring infrastructure that keeps them up.
• Comfort with judgement calls in ambiguous situations. Most decisions here don't have a clear right answer.
• Confident, responsible use of AI tools in your workflow. Not "vibe coding" - using them as a force multiplier where they help, ignoring them where they don't.

Nice-to-have, Not Required

• Strong TypeScript / Node.js experience (it's our primary stack, but we'll happily hire someone excellent in Go, Kotlin, Python or similar)
• Experience scaling systems to high user volumes
• Exposure to ML/AI systems in production
• Healthcare or regulated-industry experience

Why this might be the right move

• Genuine equity in a product with real upside, not lottery-ticket equity at a company that may never exit
• Startup velocity with grown-up backing - Voy isn't going anywhere, so you're not betting your mortgage on Series A survival
• A product that matters. Preventative health is one of the few areas where building software actually changes outcomes, not just engagement metrics.
• A high technical bar from day one. You're not joining a team that needs convincing to do things properly.
• Direct access to leadership - your work, your decisions, your name on them.

Practical details

• Location: London
• Working pattern: Hybrid, ~3 days per week in person
• Compensation: Competitive - happy to discuss bands early in the process
• Process: Intentionally short. Hiring manager interview, technical conversation, team chat. We move fast for the right person.

If you've read this far and any of it resonates, we'd like to talk - even if you're not actively looking.

Healthcare is broken. We’re fixing it — and we need your help.

Back in 2019, we launched MANUAL to tackle men's health (starting with hair loss and sexual health). A few years later, we launched Voy with a focus on weight loss. But our ambition has always been bigger. Healthcare too often treats conditions in isolation, not people as a whole, and we're on a mission to prove there's a better way.

In 2025, we evolved from MANUAL into Voy, a brand built for the long game: supporting people through every stage of life, not just a single diagnosis. Today, we support over 1 million members across the UK, Germany and Brazil, delivering personalised care across weight loss, menopause, hair loss and TRT (with more categories on the way).

Ready to join us and change how healthcare feels for millions of people?