We are hiring a Principal Engineer to join the new team working on the initiatives and projects which will make use of the Our Future Health resource to provide personalised, actionable health insights (such as basic calculated disease risk scores and more advanced Polygenic and Integrated Risk scores) to our participants and enable a huge increase in the UK’s ability to run clinical trials (as part of the government’s 10-year plan for the NHS). This role will be hugely pivotal in delivering key technologies that impact participant health on a national scale.
Sitting at the intersection of technology oversight, architecture, product development, and clinical software delivery, working with peers across the organisation, you will provide the technical direction and expertise needed to design, architect, integrate, operate, and govern internal and third-party digital health technologies. These applications will process sensitive health data, share health insights, enable further third-party research studies, and build participant engagement. You will also play a key role in defining our regulatory strategy, contribute to medical risk management, and work closely with regulatory specialists to understand applicable standards, as well as ensuring standards compliance by establishing procedures with a particular focus on Information Security, Health Information, and Medical Device standards.
To fulfil this role, you will need extensive knowledge and experience of digital health applications, clinical trials, genomics, and associated regulatory requirements. You’ll apply these to drive the initiatives and programme-level outcomes required to meet our targets for clinical trial recruitment, returning health insights to participants, and developing necessary regulated software where applicable.
At Our Future Health, our mission is to transform the prevention, detection and treatment of conditions such as dementia, cancer, diabetes, heart disease and stroke. We’re looking for people to join us on our journey. If you’re looking for a new challenge where you can contribute to helping future generations live in good health for longer, then we’re keen to speak with you.

REQUIREMENTS

To succeed in this role you will need some of the following skills and competencies:

• Experience leading the technical design, development, and delivery of precision medicine / personalised health software products or devices.
• Knowledge and experience of large scale processing and management of sensitive health data, focused on healthcare delivery and clinical trials.
• Prior experience with Azure (ideally), AWS or GCP.
• Comfortable working with Infrastructure as Code, ideally with knowledge of Terraform.
• Knowledge of good data modelling and design patterns; in-depth knowledge of relational databases (e.g. PostgreSQL) and familiarity other types of data store (blob, document, graph).
• Experience in a technical leadership role in a modern, agile development team, leading the adoption of practices like code review, TDD, CI/CD and pairing using tools like Git and GitHub.
• Experience of operationally managing software components once live, including; observability, logging, metrics, error reporting, debugging and live incident management.
• Experience working in/with cross-functional teams consisting of engineers, product, UX and non-technical stakeholders.
• Experience leading the work of multiple cross-functional teams to deliver an overall objective.
• Comfortable in facilitating complex technical discussions with organisation-wide impact, encouraging collaboration and providing direction.
• Proven ability to communicate with stakeholders and audiences at different levels, including exec level (CTO, CPO, etc).
• Proven experience developing Software as a Medical Device (SaMD) in compliance with the UK MDR 2002 and applicable international standards (ISO 14971, ISO 13485, IEC 62304, IEC 62366…):
• Demonstrated ability to produce and maintain required software lifecycle documentation required under IEC 62304 including software development plans, architecture and design specifications, unit/integration/system test protocols and reports, software requirements traceability matrices, anomaly/change records etc.
• Hands-on knowledge of quality management systems (ISO 13485), including participation in internal audits, CAPA processes, and ensuring software lifecycle documentation is inspection-ready for regulatory review.
• Strong understanding of risk management per ISO 14971, and usability engineering principles per IEC 62366.
• Familiarity with clinical safety and health software standards relevant in the UK (e.g. DCB0129/0160) and the associated regulatory expectations for safe deployment of clinical software.
• Experience of of supporting regulatory submissions (Technical Files, Design Dossiers, or equivalent), including responding to regulator/Approved Body queries on software documentation.
• Experience working in small, growing organisations with a high degree of ambiguity, where flexibility is valued.
• Expert understanding of software quality and experience leading quality improvement initiatives across multiple cross-functional teams.
• A track record of successfully mentoring both highly experienced and early career engineers.

• Experience leading the technical design, development, and delivery of precision medicine / personalised health software products or devices.
• Knowledge and experience of large scale processing and management of sensitive health data, focused on healthcare delivery and clinical trials.
• Prior experience with Azure (ideally), AWS or GCP.
• Comfortable working with Infrastructure as Code, ideally with knowledge of Terraform.
• Knowledge of good data modelling and design patterns; in-depth knowledge of relational databases (e.g. PostgreSQL) and familiarity other types of data store (blob, document, graph).
• Experience in a technical leadership role in a modern, agile development team, leading the adoption of practices like code review, TDD, CI/CD and pairing using tools like Git and GitHub.
• Experience of operationally managing software components once live, including; observability, logging, metrics, error reporting, debugging and live incident management.
• Experience working in/with cross-functional teams consisting of engineers, product, UX and non-technical stakeholders.
• Experience leading the work of multiple cross-functional teams to deliver an overall objective.
• Comfortable in facilitating complex technical discussions with organisation-wide impact, encouraging collaboration and providing direction.
• Proven ability to communicate with stakeholders and audiences at different levels, including exec level (CTO, CPO, etc).
• Proven experience developing Software as a Medical Device (SaMD) in compliance with the UK MDR 2002 and applicable international standards (ISO 14971, ISO 13485, IEC 62304, IEC 62366…):
• Demonstrated ability to produce and maintain required software lifecycle documentation required under IEC 62304 including software development plans, architecture and design specifications, unit/integration/system test protocols and reports, software requirements traceability matrices, anomaly/change records etc.
• Hands-on knowledge of quality management systems (ISO 13485), including participation in internal audits, CAPA processes, and ensuring software lifecycle documentation is inspection-ready for regulatory review.
• Strong understanding of risk management per ISO 14971, and usability engineering principles per IEC 62366.
• Familiarity with clinical safety and health software standards relevant in the UK (e.g. DCB0129/0160) and the associated regulatory expectations for safe deployment of clinical software.
• Experience of of supporting regulatory submissions (Technical Files, Design Dossiers, or equivalent), including responding to regulator/Approved Body queries on software documentation.
• Experience working in small, growing organisations with a high degree of ambiguity, where flexibility is valued.
• Expert understanding of software quality and experience leading quality improvement initiatives across multiple cross-functional teams.
• A track record of successfully mentoring both highly experienced and early career engineers