Senior Full-Stack Software Engineer, Heim
£95-120k
3 days a week in office
AI native tech infrastructure for last mile of healthcare
Open for applications
AI native tech infrastructure for last mile of healthcare
1-20 employees
Open for applications
£95-120k
3 days a week in office
1-20 employees
Company mission
To reinvent how healthcare is accessed by bringing it to patient’s homes efficiently, and at scale.
Role
Who you are
- You’re a senior full-stack engineer who acts like a founder. You take responsibility for outcomes, not just tasks. You’re comfortable roaming an unfamiliar part of the codebase when something needs fixing, and you’ll ask sharp clarifying questions before committing to an approach
- 6+ years building and owning production software in fast-moving environments
- Genuine full-stack capability – you’re not “mostly frontend” or “mostly backend”; you care about and can own the whole system
- Proven ability to own the full delivery lifecycle: frontend, backend, infrastructure, CI/CD pipelines, deployment, and testing – without handing off to separate DevOps or QA teams
- Active, fluent use of AI coding tools – Claude Code, Cursor, Copilot – not as novelty, but as default workflow
- Experience making data-sensitive engineering decisions: you instinctively ask about PII classification, schema flexibility, and audit requirements before you build
- A track record of shipping under ambiguity – you’ve taken a vague ask, formed a point of view, and delivered something that worked
- The judgement to know when to move fast and when to slow down
- Experience in regulated environments (healthcare, fintech, legal) and an understanding of what “good enough” looks like when data sensitivity is high
- Background building agentic or multi-step AI workflows in production
- A side project or personal tool built with AI – something that shows you’ve been hands-on with Cursor, Claude Code, or AI integrations outside of work
- Familiarity with NHS data standards, FHIR, or community care systems
- Infrastructure and cloud experience (GCP or equivalent) beyond the basics
What the job involves
- This is a full-stack TypeScript role in the truest sense – you will own problems across the entire system, from UI to infrastructure
- AI isn’t a feature here; it’s a first principle
- We expect you to use agentic coding tools fluently (e.g. Claude Code, Cursor) and to be building your own views on where agentic workflows can meaningfully improve what we ship
- You’ll be working on systems where the stakes are real: scheduling errors affect patient care, data quality issues affect clinical decisions, and downtime has consequences
- That context sharpens every technical choice you make
- Design and build product features end-to-end across the Heim tech stack – owning them from first principles to production
- Architect and implement AI-powered workflows: scheduling optimisation, practitioner dispatch, clinical data enrichment, and agentic referral automations that reduce manual touchpoints for nurses
- Own the full lifecycle of features – from TypeScript frontend through to backend services, infrastructure, deployment pipelines, and testing – without relying on separate DevOps or QA teams to close the loop
- Build and maintain the APIs, services, and data models that underpin clinical operations – with the reliability and auditability a regulated environment demands
- Collaborate with our product and clinical ops teams to translate ambiguous real-world problems into working software
- Make pragmatic trade-offs between speed and quality, and advocate clearly when the trade-off isn’t acceptable
- Contribute to the architecture and infrastructure decisions that will shape the platform as we scale to NHS Trusts across the UK and into new markets
- Leave the codebase better than you found it – improving performance, clarity, and resilience as part of everyday delivery
- You won’t get perfectly specified tickets. You’ll be trusted to think, decide, and ship
Salary benchmarks
Our take
Heim is reinventing how healthcare is delivered. They believe we are at the cusp of a systemic shift away from hospital-based care toward the home, so they're building the AI-native infrastructure to power this transition. With a mission to expand access to in-person clinical care by empowering nurses with technology that makes home-based delivery more efficient and scalable.
Healthcare systems globally are buckling under administrative friction and inefficient workforce distribution. In the UK and Europe, the "last mile" of care is currently managed via manual spreadsheets and fragmented legacy tools. This "travel tax" on clinical time is the single greatest barrier to sustainable healthcare.
Heim is an infrastructure layer designed to solve the "last mile" complexity of healthcare and have created an AI-native ecosystem that optimises the intricate scheduling and logistics involved in community care. Their core offering is a platform that automates every non-clinical touchpoint - from route optimisation to automated referrals - allowing clinicians to focus entirely on the patient. By applying algorithms to clinical logistics, Heim has shown that the cost of at-home visits can be reduced by around 35%, releasing significant clinical capacity.
Freddie
Company Specialist at Welcome to the Jungle
Company
Funding (1 round)
Nov 2024
$3m
SEED
Total funding: $3m
Company benefits
- 33 days base holiday (25 days + 8 bank holidays)
- An extra day off for your birthday (or nearest week day!)
- Socials and bi-annual company-wide retreats
Company HQ
Marylebone, London, UK
Articles
Leadership
Kelly Klifa
(Co-Founder & CEO)Co-founded Testing for All and scaled to >£29M turnover in <16m. Former Group Strategy Lead at Sainsbury's Group and Strategy Consultant at Advention Business Partners.
James Monico
(Co-Founder & CPO)James co-founded and scaled Cloudreach (exited to Blackstone) and co-founded Testing For All with Kelly, providing large-scale diagnostics during the pandemic.
People progressing
Dr Elle is an emergency doctor by background, and now leading Heim's foray into the NHS. Promoted from clinical lead to Medical Director
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