Backend Developer

Backend Developer focuses on care planning, operator surfaces, or whichever needs the next push. the architectural choices in your domain have been in place for years.

What the role involves

• Care planning, operator surfaces, or whichever needs the next push. The architectural choices in your domain have been in place for years.
• Ship. NET/C # across the event-sourced estate. Typed contracts, gateways, projections, the lot.
• Build agents as ordinary services. Bounded remit, defined role, audit trail, recall procedure.
• Push agentic coding. Claude Code, Copilot, Cursor, or whatever ships fastest. Contribute back to our shared foundational framework.
• Communicate with the business. Operations, clinical, finance, commercial. Understand how the work happens, then build from there.
• Keeping CQC and clinical audit baked in. Audit by default is the architecture, not a feature.

Skills and requirements

• NET/C # at a senior level. Real command of the language and the runtime.
• DDD experience. You know how to slice complex systems into the right boundaries, reducing complexity and increasing maintainability and business collaboration.
• Postgres at scale. Schema design, performance, multi-tenant patterns.
• Multi-tenant architecture. You know what makes tenant isolation real and what makes it leaky.

Candidate fit

• backend problem-solving, careful testing, documentation, and confidence with system reliability

Additional role context

• What you ship directly affects care delivery at scale.