Senior Software Engineer — AI‑Driven Healthcare Platform

OneAdvanced Limited; Birmingham; On-site; GBP 75,000 - 95,000; Full time

Benefits offered by this job

26 days holiday plus bank holidays

Volunteer day each year

Private medical insurance

Pension with matched contributions

Life assurance

ULEV car scheme

Job summary

OneAdvanced is seeking a Senior Software Engineer in Birmingham to help evolve Vision, a large-scale clinical practice management system used by GP surgeries and clinics. You will work across a complex C++/COM/C#/.NET codebase, modernising technology and embracing AI-enabled development practices.

You will tackle challenging engineering tasks, review AI-generated code and contribute to NHS integrations, ensuring safety and reliability in a clinical environment.

Qualifications

• Commercial experience developing complex software using MS C++ and C#/.NET.
• Experience with Windows desktop applications, ideally Windows Forms.
• Experience with large codebases and diagnosing complex issues across components.
• Solid SQL and relational database development; PostgreSQL experience preferred.
• Experience using Visual Studio and MSBuild in a commercial environment.
• Understanding of COM, OLE and interoperability concepts.
• Understanding of Windows APIs.
• Commitment to clean, maintainable code and high engineering standards.

Responsibilities

• Develop, maintain and enhance Vision across a complex codebase spanning C++, COM and C#/.NET.
• Diagnose challenging issues and improve system reliability, performance, maintainability and test coverage.
• Support the modernisation of legacy C++ and VB6 functionality towards modern .NET solutions.
• Work with SQL databases, COM interop and established data access technologies.
• Contribute to new web-based workflows through our IQHealth platform, improving experiences for GP practices and clinical users.
• Use agentic AI development and testing tools to accelerate engineering workflows, explore solutions and improve software quality.
• Review and validate AI‑generated code, applying sound engineering judgement to ensure changes are secure, reliable and appropriate for a clinical environment.
• Develop and maintain integrations with NHS systems and relevant healthcare standards.
• Contribute to technical design, code reviews and automated testing, collaborating with Product and QA teams to deliver effective solutions.

Skills

C++

C#/.NET

Windows desktop apps

SQL knowledge

PostgreSQL

Visual Studio

MSBuild

COM/OLE interoperability

Windows APIs

Code maintenance

AI tooling curiosity

Tools

Visual Studio/MSBuild

Git

Perforce

Jira

Confluence

Ranorex

VB6/VB.NET

NHS integrations knowledge

Job description

OneAdvanced is seeking a Senior Software Engineer in Birmingham to help evolve Vision, a large-scale clinical practice management system used by GP surgeries and clinics. You will work across a complex C++/COM/C#/.NET codebase, modernising technology and embracing AI-enabled development practices.

You will tackle challenging engineering tasks, review AI-generated code and contribute to NHS integrations, ensuring safety and reliability in a clinical environment.