Founding Platform Engineer (HealthTech Startup)

Entrepreneur First; Greater London; On-site; GBP 90,000 - 104,000; Full time

Job summary

A healthcare technology startup seeks a Founding Platform Engineer to lead the infrastructure behind its innovative AI healthcare platform. You'll design and operate AWS solutions, implement Infrastructure as Code, and ensure the reliability and security of systems critical for clinical settings. Ideal candidates have strong DevOps experience and are eager to shape the future of healthcare technology. This is a unique opportunity to play a pivotal role in delivering cutting-edge solutions that enhance patient care while also enjoying competitive compensation and equity.

Benefits

Generous equity

Private health and dental insurance

All equipment covered

Qualifications

• Strong experience as a DevOps, Platform, or Infrastructure Engineer.
• Hands-on experience with AWS services, including EC2, ECS/EKS, and RDS.
• Production experience with Infrastructure as Code (Terraform preferred).
• Understanding of Linux systems and networking fundamentals.
• Experience in regulatory environments (healthcare, fintech, gov).

Responsibilities

• Design and operate AWS-based platform to support production workloads.
• Define infrastructure using IaC such as Terraform.
• Build and maintain CI/CD pipelines for applications and ML systems.
• Ensure deployments are repeatable and low-risk.
• Implement monitoring, logging, alerting, and tracing across the stack.

Skills

AWS

Infrastructure as Code (Terraform, CloudFormation)

DevOps

CI/CD Pipelines

Security Best Practices

Linux Systems

Containerization (Docker, Kubernetes)

Monitoring and Observability

Tools

AWS Lambda

GitHub Actions

CloudWatch

Terraform

Datadog

PostgreSQL

Job description

Founding Platform Engineer (HealthTech Startup)

Join Asterix as our Founding Platform Engineer. Build frontier clinical AI, own the stack, and help create DoctorOS — the platform powering the future of healthcare.

At a Glance

• Compensation: £90,000 + generous equity
• Location:Nach onsite in Shoreditch, London
• Benefits: Private health + dental (Bupa), all equipment covered

We usually respond within three days.

Asterix Exists for One Reason

To fix the biggest problem in healthcare: there are not enough doctors, and the system can no longer keep up.

Millions of patients wait weeks for appointments. Millions more are stuck on hospital waitlists. Preventable conditions are missed and go unnoticed.

Asterix is building the only scalable solution: a new model of care where highly-qualified doctors are augmented by AI to make safer, more consistent clinical decisions.

Our Doctor fontOS platform is becoming the backbone of modern healthcare delivery. We combine rigorous clinical leadership, real‑world healthcare workflows, and AI tooling that makes doctorsRestaurants 10x more productive.

Your Mission: Build the Platform That Clinical AI Runs On

As our Founding DevOps / Platform Engineer, you will design, build, and own the infrastructure and platform foundations that power DoctorOS in production.

You’ll operate at the intersection of cloud infrastructure, reliability engineering, security, and developer experience, building systems that must be highly available, auditable, secure, and compliant in real clinical environments.

This is a true founding role. You will define how infrastructure is provisioned, deployed, secured, monitored, and scaled across the company from early experimentation to mission‑critical clinical workloads.

Cloud Infrastructure (AWS)

• Design and operate our AWS-based platform to support production clinical and AI workloads.
• Build secure, scalable environments across multiple stages (dev, staging, prod).
• Make thoughtful trade‑offs between speed, cost, reliability, and compliance.

Infrastructure as Code & Automation

• Define all infrastructure using IaC (Terraform, CloudFormation, or similar).
• Build and maintain CI/CD pipelines for applications, infrastructure, and ML systems.
• Ensure deployments are repeatable, observable, and low‑risk.

Reliability, Observability & Security

• Own uptime, performance, and incident response for core systems.
• Implement monitoring, logging, alerting, and tracing across the stack.
• Design for fault tolerance, graceful degradation, and fast recovery.
Embed security best practices: IAM, secrets management, network isolation, and auditability.

Platform & Developer Experience

Build internal tooling and patterns that make engineers productive by default.

Enable fast, safe experimentation without compromising production reliability.

Reduce cognitive load through good abstractions, documentation, and standards.

Compliance & Clinical‑Grade Systems

• Help shape infrastructure that meets healthcare expectations around:
  • Data protection
  • Auditability
  • Access control
• Work closely with engineering and clinical stakeholders to ensure trust in the platform.

Cross‑Functional Collaboration

• Partner closely with product, backend, data, and AI engineers.
• Act as a multiplier for the whole team by unblocking delivery and raising the bar.
• Help define technical standards and shape the engineering culture as the team grows.

Who You Are

We don’t care about pedigree. We care about what you’ve built and how you think.

You’ll thrive here if you have:

• Strong experience as a DevOps, Platform, or Infrastructure Engineer
• Deep hands‑on experience with AWS, including services such as:
  • EC_pending, ECS/EKS, Lambda
  • RDS, S3
  • VPC, IAM, CloudWatch
• Production experience with IaC (Terraform preferred).
• A solid understanding of:
  • Linux systems
  • Networking fundamentals
  • Containerisation (Docker, Kubernetes, or ECS)
• Experience with AWS SAM/CloudFormation for serverless infrastructure
• Familiarity with Supabase for managed PostgreSQL and authentication
• Experience building CI/CD pipelines for serverless applications (GitHub Actions preferred)
• Experience with structured observability (CloudWatch Insights, X‑Ray, or Datadog) for distributed serverless systems
• Experience designing reliable, scalable, and secure systems.
• Familiarity with observability tools (metrics, logs, alerts) andjdk)
• Experience within regulatory environments (healthcare, fintech, gov)
• Python or scripting experience for automation and tooling

Nice to have (but not required)

• Experience supporting data or ML‑heavy platforms
• Exposure to regulated environments (healthcare, fintech, needle)
• Python or scripting experience for automation and tooling

You Also Bring

• A strong sense of ownership – you care deeply about outcomes, not just infrastructure diagrams.
• A collaborative mindset, working shoulder‑to‑shoulder with engineers and product.
• Comfort operating in ambiguity and building from first principles.
• Curiosity, pragmatism, and a bias toward action in an early‑stage environment.

Culture – The Asterix Way

\ Diablo

Humble –

High‑intensity, founder mentality – You don’t wait for permission. You push problems to resolution. You act like an owner of the mission, the systems, and the culture. Solving one of society’s biggest problems won’t happen in a 9‑to‑5. We work hard, with purpose.

Joyful energy – We take the work seriously, not ourselves. We celebrate progress, support each other, and keep the energy high.

In‑person by design – We work shoulder‑to‑shoulder in London. It makes us faster, tighter, and better.

Why Join Now

Because you want to do the most meaningful, high‑leverage work of your career early enough that your fingerprints are on everything.

This role lets you:

• Build the platform behind modern healthcare
• Enable safe, scalable clinical AI in production
• Own infrastructure that clinicians and patients rely on
• Learn faster than anywhere else
• Earn meaningful equity while shaping the company from day one

If you want to build。不过 infrastructure that truly matters, this is it.

About Asterix Health

We’re solving the biggest problem in healthcare: the shortage of qualified doctors. Our modern workforce solution combines highly‑qualified doctors with cutting‑edge tech to deliver better care for patients.

Since launching in early 2025 we’ve scaled with vleading NHS care providers nationally, and our approach was featured in the latest NHS 10‑Year Plan for the Future.

We’re backed by some of the UK’s leading investors (Entrepreneur First and more shared soon) and growing quickly.

Learn more: www.asterix.health/about-us

Founded in 2024.

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