Senior Node.js & Cloud Engineer
Role details: This is a full time role for 40 contracted hours per week
Salary: Euro 80,000 - 92,000
Location: Remote in Ireland
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Who We Are
Isla Health is a venture-backed healthtech 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 cohorting, patients always take the optimised route through their pathway, thereby delivering a step change in clinical productivity.
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The role
We are 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’ll 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
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The 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 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, such as github actions
Infrastructure
Proven experience with unit testing frameworks such as Jest
Flexible working times
Work abroad for up to 90 days per year
️ 25 days annual leave (on top of public holidays)
Take your birthday off and another for a significant day of your choice