Founding Full Stack Software Engineer / Technical Lead

About the role

We are looking for a highly capable Founding Full Stack Engineer / Technical Lead to work directly with the founders and our existing development team. This is a high-ownership role for someone who wants to combine hands-on engineering with technical leadership, product thinking, and company-building. You will help translate commercial priorities into technical delivery, guide architectural decisions, contribute directly to the codebase, and help define the engineering culture as the company scales. The product, infrastructure, customers, roadmap, and engineering team already exist. Your role is to help scale, refine, and strategically evolve the platform during an important growth phase. For the right person, there is a genuine pathway for this role to evolve into a long-term senior leadership position, with potential for formal Co-Founder designation if the role, contribution level, and company milestones justify it. Core Responsibilities Technical leadership and delivery You will coordinate the existing small, focused engineering team, help prioritise engineering work, review technical decisions, and ensure that delivery remains high quality, commercially aligned, and pragmatic. Hands-on engineering This is a hands-on role. You will be expected to write code, review code, troubleshoot issues, support implementation decisions, and remain close to the technical detail of the product. Architecture and scalability You will help shape the architecture of the platform as it scales, including application design, infrastructure, security, performance, reliability, and AWS-based cloud decisions. Founder collaboration You will work closely with the founders on a day-to-day basis, translating commercial, operational, clinical, and customer requirements into clear technical priorities. Product and user engagement You will be comfortable engaging directly with end-users, understanding real clinical workflows, and using that insight to inform better product and technical decisions. Engineering standards You will help define engineering standards, testing practices, CI/CD pipelines, and release processes that form the foundations of a scalable engineering function.