Senior Backend Engineer

Who you are

• 5–8 years of backend experience with strong fundamentals. We care more about depth than years
• Experience at a startup or scale-up where you genuinely owned things
• Architectural thinking. You can hold an end-to-end technical conversation about systems you've built — what trade-offs you made, what broke, what you'd do differently
• A track record of shipping reliable systems. Not just features — the boring infrastructure that keeps them up
• Comfort with judgement calls in ambiguous situations. Most decisions here don't have a clear right answer
• Confident, responsible use of AI tools in your workflow. Not "vibe coding" - using them as a force multiplier where they help, ignoring them where they don't
• Strong TypeScript / Node.js experience (it's our primary stack, but we'll happily hire someone excellent in Go, Kotlin, Python or similar)
• Experience scaling systems to high user volumes
• Exposure to ML/AI systems in production
• Healthcare or regulated-industry experience

What the job involves

• We're hiring the a Founding Backend Engineer at Do Health - a mobile-first preventative health product co-founded by Dr Rangan Chatterjee, built as an independent startup inside Voy
• Voy is one of the UK's fastest-growing digital health companies (£300M+ revenue, doubling next year, ~2x YoY growth across men's health, metabolic health, menopause, hormonal health, TRT, dermatology and more). Do Health is its next chapter: the first product designed not to treat illness, but to prevent it
• The product combines regular blood tests, longitudinal health data, behaviour-change science and AI personalisation to help people make better lifestyle decisions over time. We already run AI systems in production at a scale very few UK companies match
• You'd join a 10-person team, partnering directly with our lead engineer on the backend. There's no layer of management between you and the work. What you ship in month one is what users get
• Own major backend features end-to-end - design, build, ship, monitor, iterate. Not "contribute to" - own
• Shape architecture alongside the lead. Real technical decisions, made by you, kept or changed based on what works
• Scale our blood testing infrastructure across the UK and internationally as we expand
• Build production AI systems - personalisation engines that act on longitudinal health data at scale
• Improve reliability, observability, and the foundations that everything else depends on as the product grows
• Work directly with product, design, and clinical teams. No tickets thrown over walls

The application process

• Process: Intentionally short. Hiring manager interview, technical conversation, team chat. We move fast for the right person

Benefits

• Generous stock option plan
• Private medical insurance plan
• Gym and wellness benefit with Wellhub
• Hybrid role based in London with lunch provided on Wednesdays
• 25 days of annual leave plus generous parental leave policies
• Electric car scheme
• Cycle to work scheme