Senior Backend Engineer

Isla; Ireland; Remote; EUR 80,000 - 92,000; Full time

Job summary

Isla Health is seeking a Senior Node.js Engineer to join a remote-first team building the Digital Pathway Platform for healthcare providers. You will own significant backend areas, ship features rapidly, and collaborate with product, design, and frontend colleagues.

You will work in a fast-paced startup environment with high ownership, focusing on scalable services, reliability, and data-driven health tech challenges across the UK, EU and internationally.

Qualifications

• Proven experience building Node.js applications with TypeScript.
• 5+ years as a developer, preferably in startups or health-tech.
• Strong cloud experience and modern backend design principles.

Responsibilities

• Design, scope, build and deploy features quickly for users.
• Own services in production including monitoring and reliability improvements.
• Collaborate with product and design to deliver user-focused solutions.
• Support and improve cloud infrastructure.

Skills

Node.js

TypeScript

Cloud

GCP

CI/CD

Backend design

Mentoring

Tools

Terraform

Docker

CI/CD tooling

Job description

Senior Node.js & Cloud Engineer

Role details: This is a full time role (40 hours per week)

Salary: €80,000 - 92,000

Location: Ireland (Remote - work from home)

Who we are

Isla Health is a venture-backed health-tech startup, supporting our partners across the UK, EU and internationally. We have built a new category of healthcare technology which we refer to as the Digital Pathway Platform (DPP). Founded in 2019, we now support 25% of NHS Trusts and see 2 million submissions on the platform every year.

As a company we are all laser focused on enabling a scalable model of care which empowers healthcare staff and improves patient outcomes. The DPP supports this by setting up digital pathways which are remote-first and asynchronous. As pathways harness sophisticated automation, clinical algorithms and intelligent co-horting, patients always take the optimised route through their pathway, thereby delivering a step change in clinical productivity.

The role

We're looking for a Senior Node.js Engineer to work closely with our product & client facing teams, understand our customer challenges, and ship things quickly to test & learn. You will design, scope, build and deploy new features quickly for our users.

You will have high ownership over whole areas of the codebase and who features end-to-end, contributing to a platform that supports millions of patient interactions. You should be biased towards pace and experimentation and excited about solving the big challenges in healthcare.

What you'll do

• Build the platform that will allow our clients to look after their patients, integrating new data sources to drive our DPP, managing those complex clinical data flows to ensure that data is where it needs to be, and then writing updates back to 3rd party systems.
• Own services in production, including monitoring, debugging, and improving reliability over time
• Collaborate with product and design to deliver user-focused solutions
• Support and improve our cloud infrastructure

Outcomes you'll be responsible for

• Deliver high-quality, maintainable backend systems that scale with growing usage
• Take ownership of features/services and ensure they are reliable in production
• Support and mentor other engineers through collaboration and code review
• Champion technical excellence and continuous improvement by driving best practices in software development, DevOps, and cloud infrastructure

Team

You will be joining a lean & high performing engineering organisation. We value pace, but also hold really high quality standards for each other.

• The structure: You will be a member of our Backend/Platform team. As a Senior Engineer, you will report directly to our Platform/Backend Lead.
• Cross-functional collaboration: You'll work in a tight loop with our Product, Design, and Frontend teams.

Our tech & tools:

We lean into modern, scalable infrastructure (Node.js, TypeScript, GCP). We prioritise tools that enable velocity - such as Terraform and automated CI/CD. We also lean heavily into AI, and you'll be able (encouraged) to use whatever tools you need to scale your own and the team’s workflows

• As a person:
  • You're a proactive Engineer who enjoys collaborating with all areas of the business and our customers directly
  • You're Passionate about solving complex problems in a team of brilliant people
  • You bring empathy and enthusiasm to help the wider team progress through mentoring. You'll bring strong experience in GCP and backend design, and support others through collaboration and knowledge sharing
  • You'll be super curious & love pushing the boundaries of agentic coding & scaling your own abilities
• As a developer:
  • You'll have professional experience as a Senior Developer
  • Ideally in a start up
  • Ideally ~5+ years as a developer
  • On that journey, you'll have worked with lots of variety (exhaustive list below, not all required!):
  • Writing code: Deep understanding of best practices when building Node.js applications with Typescript & experience integrating with a variety of APIs, e.g. REST & SOAP
  • Cloud experience: Hands-on experience with cloud infrastructure. Ideally Google Cloud Platform, although not required. E.g: Datastore, Cloud Run, Cloud Functions, IAM, Docker
  • Networking: Solid understanding of VPCs, subnets, private VPNs
  • CI/CD: automation