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: Ireland - Work from home or our office based at ATU Sligo campus
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.
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 feature 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 allows our clients to look after their patients, integrating new data sources to drive our DPP, managing complex clinical data flows to ensure 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.
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.
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 will be encouraged to use whatever tools you need to scale your own and the team's workflows.
Requirements
As a person:
Proactive engineer who enjoys collaborating with all areas of the business and our customers directly.
Passionate about solving complex problems in a team of brilliant people.
Brings empathy and enthusiasm to help the wider team progress through mentoring; strong experience in GCP and backend design; supports others through collaboration and knowledge sharing.
Super curious & loves pushing the boundaries of agentic coding & scaling own abilities.
As a developer:
Professional experience as a Senior Developer
Ideally in a startup.
5+ years as a developer.
Worked with a variety of technologies such as Node.js applications with TypeScript, and APIs (REST & SOAP).
Cloud experience: Hands‑on experience with Google Cloud Platform, 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.
Unit testing frameworks such as Jest.
Benefits
Flexible working times – work from home or our office based at ATU Sligo campus.
Work abroad for up to 90 days per year.
25 days annual leave (on top of public holidays).
Take your birthday off and another significant day of your choice.
Generous well‑being perks.
An annual learning budget to support your growth.
Delivering social impact through improved patient healthcare.
Working at a well‑funded and rapidly growing start‑up, solving a global problem in a new way.
Interviewing with us
Screening interview with someone from our People team – 15 minutes.
Practical task you will complete independently.
Technical interview with one of our Engineering Leads – 1 hour.
Final interview with our co‑founder CTO – 30 minutes.
Diversity and Inclusion
Isla is an equal opportunity employer and is committed to building an inclusive and diverse team. We encourage all qualified candidates to apply. Isla does not discriminate against anyone on the basis of race, gender, disability, religion, national origin, age, or any other protected category. We choose to celebrate our team's differences and see them as one of our most valuable assets. Recruitment is not one‑size‑fits‑all and we're happy to tailor our hiring process to better meet the needs of individual applicants. Please email recruitment@isla.health with any requests for support.
Using AI Tools for Your Application
Most of our roles include several questions as part of the application process. AI tools such as ChatGPT might be useful in structuring or proofreading your cover letter or your application answers. We encourage you to do your own research though to fully understand the company and the role you are applying to as you will be asked questions during any interview. Generic AI‑generated answers are also quite obvious. We’d like to get an idea of how you think early in the process; you should also make sure Isla is the right fit for you before you apply. Make AI tools work for you, not against you.
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