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Senior Backend Engineer at fast-growing European healthtech SaaS

Help bridge the global fertility gap as a Senior Backend Engineer at a fast-growing healthtech SaaS. Working with a cutting-edge Rails 8 and Hotwire stack, you will own critical features for a platform already operating in 14+ countries. If you are a high-craft engineer looking for meaningful equity, deep technical autonomy, and a mission that truly matters, this London-based role offers the perfect blend of impact and innovation.

About this role

Role overview

You will build and own core features for a multi-country clinic operating system using Rails 8. This senior role involves managing complex healthcare workflows, including patient scheduling, EMR, and cryo storage management. You will work within a high-autonomy environment to improve global access to fertility treatments through robust, scalable software engineering.

About the company

About the company

Fast-growing European healthtech SaaS

What you'll do

What you will do

  • Develop and maintain mission-critical backend features for a multi-tenant healthcare SaaS platform.
  • Solve complex technical challenges related to multi-country compliance and real-time scheduling.
  • Collaborate in a high-trust team to deliver production-ready code with high craftsmanship.

Who you are

Who this is a fit for

  • 5+ years of experience with deep expertise in Ruby on Rails and production SaaS environments.
  • Proven ability to operate autonomously and take full ownership of product features and outcomes.
  • Experience in healthcare, payments, or compliance-heavy domains is a significant advantage.

Why this role

Why this role is remarkable

  • Impact a mission-critical sector where 17% of adults worldwide require assistance to start a family.
  • Join a company with proven product-market fit, generating meaningful revenue across 14+ countries.
  • Work with a modern, high-performance stack including Rails 8, Hotwire, Phlex, and Tailwind CSS.

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