Engineering Manager - Heath Tech (London)

Location: London (Hybrid: 2 days/week in-office)

About Us

We’re a fast-growing pre-Series A healthtech startup on a mission to improve healthcare using clinical algorithms. Backed by top-tier investors, we’ve experienced 5x growth in the past year and are entering a critical scaling phase. Our team of doctors, researchers, engineers, and data scientists is transforming clinical decision-making — and we’re just getting started.

To support this growth, we’re evolving our engineering culture to meet the demands of scale — where velocity, quality, autonomy, and accountability are not trade-offs but co-requirements.

What You’ll Do

•   Build and Scale: Hire, lead, and retain high-performing engineers who thrive in fast-paced, high-accountability environments.


•   Coach and Grow: Develop engineers technically and professionally through regular feedback, mentoring, and clear growth pathways.


•   Elevate Standards: Drive engineering excellence through robust practices in code quality, system architecture, and delivery.


•   Lead Cultural Shift: Help evolve the team from scrappy startup to world-class engineering org without losing speed or intensity.


•   Own Delivery: Ensure teams consistently ship customer-centric features at pace and with precision.


•   Champion Performance: Foster a high-output, high-trust environment where engineers take full ownership.


•   Collaborate Deeply: Work cross-functionally with Product, Design, and Ops to align priorities and deliver outcomes.

About You

•   Have 3+ years of engineering leadership experience in high-growth startups or scale-ups


•   Have scaled teams or systems before—and are excited to do it again from an earlier stage


•   Bring a strong product mindset—you care about solving real problems, not just writing code


•   Know how to balance speed with rigor—you can ship fast without creating tech debt


•   Are technically confident with Python, React, AWS, distributed systems (e.g., Kubernetes) and infra-as-code (e.g., Terraform), though you delegate more than you code


•   Are obsessed with raising the bar—on hiring, execution, and accountability


•   Thrive in environments with clear KPIs, sharp focus, and no room for mediocrity

What We Offer

•   Competitive salary + meaningful equity


•   Rapid career progression in a flat, high-ownership structure


•   A unique opportunity to shape engineering culture during a hypergrowth phase


•   A team of smart, motivated, multidisciplinary colleagues


•   High trust, high autonomy, and meaningful work that impacts lives

We’re Not for Everyone

We move fast, expect a lot, and hold ourselves to high standards. If you're looking for stability or a gentle ramp-up, this might not be the place. But if you're excited by ownership, challenge, and building something truly impactful—we’d love to meet you.