Senior Full-Stack Engineer

🕒 August 14

🇬🇧 United Kingdom – Remote

💵 £80k - £95k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 18%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Perci Health

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

📡 Telecommunications

Healthcare • Healthcare Insurance • Telecommunications

Perci Health is a virtual care clinic that connects individuals living with cancer and their caregivers to a comprehensive team of multidisciplinary cancer experts. The platform offers one-to-one appointments with NHS-registered cancer specialists and provides expert-led content tailored for every phase of the cancer journey. By leveraging a digital platform, Perci Health facilitates convenient and collaborative care, working alongside patients' general practitioners and oncology teams to ensure connected and personalized support. Services include access to NHS-trained cancer nurses, dietitians, psychologists, physiotherapists, and a range of other specialists, focusing on enhancing patient outcomes and reducing care costs. Perci Health does not provide urgent care services and emphasizes personalized support and guidance rather than emergency interventions.

📋 Description

• Design, build and ship full-stack features end to end, from data model and API design through frontend implementation • Design and build robust, scalable TypeScript and Node.js APIs published in OpenAPI format • Architect resilient distributed systems and third-party integrations with error handling, failure-mode mitigation and transaction control • Work with FHIR R4 resources and clinical data models within Medplum • Contribute to the frontend rewrite from Flutter to React • Make build-versus-buy decisions focused on differentiated value • Test owned work and contribute to QA and DevOps in a small team • Ensure development practices meet medical-device regulatory requirements • Write precise specifications that AI agents can implement and engineers can verify • Define verification approaches alongside specifications • Build tooling and controls for safe agent operation, including risk-based review, monitoring, alerting, incident response and automated pre-release verification • Help determine which agent-authored changes can be released directly to production • Set standards and define engineering practices for AI-assisted development • Report directly to the CTO and work alongside a small group of senior engineers

🎯 Requirements

• Around 6+ years building software end to end, ideally in TypeScript, Node.js and React; adjacent stacks accepted where fundamentals are strong • Substantial experience of system design and architecture, including production systems with demonstrated weaknesses • Practical experience of distributed systems and third-party integrations, including auth, webhooks, rate limits, retry strategies, fault tolerance, transaction management and integration quirks • Strong testing ability and practice, including identifying likely design failure points • Experience using AI coding agents on production work and an informed view of their strengths and limitations • Experience working in a small team with incomplete requirements • Ability to describe systems precisely in writing for engineers or agents to implement • Clear and confident communication in a fully remote team • Ability to work autonomously and collaboratively • Pragmatic, adaptable approach to technology and software development • Motivation to build products that benefit people • Experience in a regulated industry such as healthcare or finance is desirable • Familiarity with FHIR R4 or other healthcare data standards and Medplum or similar platforms is desirable • AWS infrastructure experience is desirable • Some Flutter exposure is desirable • Startup, scale-up or founding engineer experience is useful

🏖️ Benefits

• 30 days of annual leave per year, in addition to UK statutory and public holidays • 3 days paid annually to volunteer with a charity or community group of your choice • Access to the YuLife wellbeing app • Company laptop and any additional equipment required for the role • Access to Perci's pension scheme • Income protection cover • Enhanced company sick pay • Enhanced maternity and adoption pay (primary carer): 20 weeks at full pay, 16 weeks at 25% • Enhanced paternity and adoption pay (secondary carer): 6 weeks at full pay, followed by 6 weeks at 50% of pay • Access to over 400 co-working spaces across the UK • Remote first working, supporting genuine work-life balance • Employee Share Option Incentivisation