Senior Software Engineer, Incision
AWS Focused
Surgical information-sharing and education platform
Be an early applicant
Surgical information-sharing and education platform
101-200 employees
Be an early applicant
101-200 employees
Company mission
To share surgical skills and make high quality surgical knowledge accessible to everyone. That’s why we created Incision — to enable continuous surgical improvement that leads to better outcomes for everyone.
Role
Who you are
- This is a great role for someone who enjoys owning AWS architecture, mentoring others, and building systems where security, performance, and trust truly matter
- 7+ years of backend engineering experience, with strong hands-on AWS expertise in production environments
- Deep understanding of AWS core services, such as Lambda, API Gateway, S3, CloudWatch, Step Functions, EventBridge, IAM, and networking fundamentals
- Proven experience designing and operating serverless or cloud-native architectures at scale
- Strong background with Infrastructure as Code (AWS CDK strongly preferred, Terraform acceptable)
- Solid experience with Node.js, TypeScript, and Nest.js in production systems
- Database expertise: DocumentDB (or MongoDB), plus DynamoDB or Aurora
- Experience improving system reliability, performance, and scalability through effective debugging, execution optimization, and memory management
- Strong observability, security, and CI/CD practices in AWS-based systems
- Track record of mentoring engineers and influencing technical direction
- Excellent communication skills, able to explain complex AWS concepts to both technical and non-technical stakeholders
Desirable
- AWS certifications (e.g. AWS Solutions Architect – Associate or Professional)
- DevOps or platform experience (CI/CD pipelines, deployment strategies, environment management)
- Experience with cost optimization and FinOps practices in AWS
- Event-driven architectures (outbox pattern, idempotency, async messaging)
- Exposure to AI/LLM integrations and AWS-based AI services
- Frontend experience, especially Angular
- Background in healthcare, finance, or other regulated environments
What the job involves
- As a Senior Backend Engineer (AWS-focused) at Incision, you will design, scale, and operate secure, reliable, and cost-efficient backend systems with a strong emphasis on AWS architecture and cloud-native best practices
- You’ll work with Node.js and TypeScript, using Nest.js, AWS CDK, and core AWS services to build and evolve our serverless platform
- You’ll collaborate closely with Product Owners, Data Engineer, and Frontend teams to deliver features end-to-end, while also acting as a technical authority on AWS design decisions, trade-offs, and operational excellence
- You’ll play a key role in strengthening our cloud foundations, improving reliability, scalability, and cost control across environments
- Architect, build, and operate backend services on AWS serverless using TypeScript, Node.js, Nest.js, and AWS CDK
- Take ownership of AWS architecture decisions, including service selection, scaling strategies, and cost optimization
- Own features end-to-end: requirements, design docs, implementation, testing, observability, cost posture, and on-call readiness
- Design resilient systems using AWS-native patterns (event-driven, async processing, retries, idempotency)
- Work with DocumentDB (primary) and DynamoDB/Aurora, making informed data modeling and performance trade-offs
- Design and document clear APIs with OpenAPI, ensuring scalability, security, and maintainability
- Strengthen observability across services using CloudWatch, logs, metrics, and tracing
- Ensure privacy, security, and compliance in handling healthcare data
- Collaborate closely with Product, Data, Frontend, and QA teams to deliver high-quality outcomes
- Mentor and support other engineers, raising AWS, backend, and operational standards across the team
Our take
Surgery makes up a big chunk of hospital budgets, and has a massive role in clinical outcomes for patients. Despite this, surgery tends to differ considerably between hospitals. Differences in factors like technique, post-surgery care and even operating room efficiency have led to a low level of standardisation, and as a result, surgery across the globe is failing to be optimised to its full potential.
Incision has set out to fix this. By building a knowledge platform based around surgery, it is improving surgical practices worldwide by allowing practitioners to share experiences, skills and expertise. As well as this, Incision offers new educational products and services ranging from 3D anatomy models to AI-driven video analysis of surgical performance. Going forward, this diversity of output will be a big advantage for Incision.
With an estimated 1.2 million practicing surgeons worldwide, Incision's potential market is big and getting bigger. Its international strategy - based on building presence in a number of key markets - has been bolstered by funding, and Incision remains focused on expansion into the UK, Scandinavia, the Middle East, and Belgium. The company's goal is to impact 100 million procedures each year by 2030.
Freddie
Company Specialist at Welcome to the Jungle
Company
Funding (2 rounds)
Nov 2023
$7m
SERIES B
May 2021
$5.9m
SERIES A
Total funding: $12.9m
Company benefits
- Market standard package for a scale-up environment based on your experience
Company HQ
Oostenburg, Amsterdam, Netherlands
Leadership
Theo Wiggers
(Medical Director & Co-Founder)A doctor of medicine and ex-professor at University Medical Center Groningen.
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