Clinical Engineer

IMPORTANT: you must complete our Ashby application form linked above in order to be considered for this role; sending a message through WaaS is not sufficient. If we don't receive an application form, we will not consider your application!

Click the link to start your application by completing a few quick questions. We'll review your application as soon as possible and if your answers catch our eye, next steps would be a technical screen & 15 min intro chat with the CEO. Please make sure to mention WaaS when you apply!

Do you want to use your medical knowledge to build something awesome?

Join Anima and save lives 🌟

Ever feel like you're a 'flowchart robot' just following a pre-defined set of guidelines? Do you miss thinking creatively and imaginatively*?* Join Anima, and you can have your cake and eat it too: we pay upper quartile for salary + equity, and as a Clinical Engineer, you'll use your medical training every day to solve super interesting technical problems that will save lives - problems that only you, a Clinical Engineer with your medical knowledge, **can solve.

Clinical Engineers need to have a medical degree. Otherwise, no specific experience, including coding, is required for this role. If you do not have coding experience, you will need to demonstrate high aptitude and a high growth gradient for it.

Hi - I'm Shun, an MD, CEO and the first Clinical Engineer at Anima. Thanks for checking out our job ad! We’re tackling a problem that has affected everyone in some way.

Millions die every year because their medical problems aren’t treated quickly enough. Hundreds of millions suffer pain, worry and discomfort needlessly because of long waiting times. I founded Anima because I was tired of breaking bad news to patients who later died, because they didn’t get a great care plan quickly. So many of those deaths were avoidable.
We’ve built an ambitious ‘Care Enablement Platform’ to automate the entire healthcare workflow, starting with primary care - combining online consultation with productivity tools and a single source of patient data truth. Anima has next generation features like autogenerating coded clinical notes and patient comms, and a real time multiplayer dashboard with a Slack-like chat experience that supports 1000s of discussion channels per clinic.
By enabling care, we get patients optimal care within 24 hours and 10x the clinical workflow in the process.

Since our launch and first pilot in March 2022, we're now used in dozens of clinics across the country, serving 100,000s of patients. We’ve been growing more than 80% MoM in terms of users and revenue. We’re default alive, and currently have over a decade of runway - though we expect to be strongly cashflow positive by the end of 2023.

Users love our product. We get an average of 2.5 referrals per clinic, and our NPS is 87! We have never churned a clinic.

The whole Anima team have personal experience of the problem we're solving: we're building what we wished we had as doctors and patients. I was the first Clinical Engineer and built most of the backend.

Backed by a top 1% VC and Y Combinator (home of epic companies like Airbnb, Coinbase, Stripe) 🚀

We were one of the hottest companies of YC’s W21 batch: we raised over $2.5m before Demo Day within 4 days, led by Hummingbird (consistently top 1% of global returns), giving us a runway of 3+ years. We are pretty unique among health techs: we have both medical and engineering domain expertise - there are 4 doctors working full time at Anima, as well as 'pure' software engineers. I wrote the first backend in Node, 80% of which is still used. As a doctor and former HM Treasury health policy advisor managing £4bn budgets in UK health spending, I have full stack domain knowledge and personal experience of the problem we’re solving. Like me, the whole Anima team have personal experience of the problem we're solving: we're building what we wished we had as doctors.

Profitable, from 0 ARR to 1m ARR in 6 months 🚀

Our mission is to deliver precision medicine to everyone in the world, within 24 hours. We know exactly how to get there and we’re moving ferociously with focus.

Anima has a unique hacker culture: everyone is technical with almost complete autonomy

Everyone is technical at Anima and can write production code. This makes for a truly flat hierarchy. There’s no separate founder, product or customer team. We've been able to make huge strides in the NHS because we all deeply understand the problem, engineering, grading for potential features, and real life clinical trade-offs. This deep domain knowledge is ultimately how we integrated with the major electronic health records (EMIS and SystmOne) in just 4 months.

We only hire exceptional talent who can think from first principles and have high growth potential - great decision makers who deserve to have complete autonomy and are forces of nature when empowered with it. At the same time, we are deeply collaborative, and through mutual and self-challenge, we converge towards the optimum, and decisively execute. We are united by child-like intellectual curiosity and experiment and wander freely when the right path isn’t clear. We believe all future managers should be formidable ICs & domain experts.

Decisions are never made in isolation by the founders. All information is transparently available to the whole team on our Notion - every meeting, decision, success, failure. Anima is a safe refuge for everyone to share their honest thoughts, feelings and be their complete unfiltered self. We offer unlimited holidays and flexibility over work schedule and location.

Use your unique skill set to make the highest marginal impact

Lots of us went into medicine because we wanted to maximise our positive impact. We believe that you can make a much greater impact as a Clinical Engineer at Anima, where you can translate your clinical knowledge into algorithms that benefit millions of patients and their clinicians.

When everyone is technical and make great decisions, it’s much easier to stay on the same page & execute rapidly. This means we have a super short latency from ideation to real usage - here are two recent examples:

James, a clinical engineer (ex-NHS doctor turned fullstack SWE), came up with and initially made a scrappy Google Sheets tool for creating clinical modules, achieving a 2-3x speedup vs. writing JSON. Two weeks later he went further and built a visual editor in React in 5 days, 10x-ing clinical module creation and testing. Recently, he integrated with NHS GP Connect in 4 days, allowing the entire healthcare system to access a single source of patient truth in combination with our MDT Hub feature.
Alex, a clinical engineer, built ‘Slack for medical teams’, supporting 1000s of channels per organisation and a real time single source of truth for patient data, in 4 weeks, picking up a large set of new technologies on the way (ground up from low-level services like Appsync, GraphQL, VTL, not Twilio). We’ve started using it instead of Slack internally 😃
Alec, a pure SWE, built ‘Omnichannel chat’ for patients and their care teams, which unifies all events and messages (patient state changes, SMS, email, in-app) into a single page, in 1.5 weeks.

Does this sound like you?

Hungry and wants their shot to change the world - a force of nature when empowered with the tools, resources and development to do it.
Feels unable to fulfil their intellectual and creative potential in clinical practice; feel strangled by the lack of opportunity to create, synthesise and build. Wants to increase their impact, and at a larger scale.
Have hacked together a cool project in the past, that did something useful, and want to relive that feeling of accomplishment (everyday!)
Ideally, prior production coding experience with Javascript. If no coding experience, then hungry to learn & can demonstrate high growth potential for software engineering at interview.
Pragmatic rather than dogmatic in decision making: able to weigh real world data appropriately, changing course when necessary towards optimal outcomes for patients and clinicians.
Strong command and breadth of clinical knowledge, skills and best practice, grounded in first principles.
Exceptional communicator, able to distill complex information into clear and concise bullets without jargon.
Keen to understand the big picture & entire context of the company and vertical; impatient to grow towards a senior executive role.
Seeks to maximise combined team productivity, communicating the right things at the right time through the right channels.
(If production experience) Disciplined towards best practice version control, CI/CD and code maintainability. Values ‘interface safety’ through dimensionality reduction at interfaces through payload validation (e.g. Joi), normalization and early decomposition of business logic.
Exceptionally good at ‘breadth-first search’ through Googling when tackling new challenges.
Expert competency in TS and reasonably tech and language agnostic. Comfortable with key frameworks/libraries like Angular, Node. Able to work full stack in JS/TS. Values pragmatism and open discussion from first principles rather than following dogma.
Intellectually curious and loves learning - able to tackle entirely novel challenges that lack prior precedent through first principles thinking, creatively using the right pragmatic approach, with an understanding of alternatives and trade offs.

We don’t enforce any particular experience level, but you’ll need to demonstrate most of the above through past projects and/or our assessment process.

Our current stack & what to expect from the role

A lot of this won't may not make sense yet (and that's okay!) - here is some information on our tech stack in case you are interested: we are tech agonistic, and collectively choose the best tools for the job. We’re constantly looking to maximise our productivity and minimise what we call “discounted dev time cost” for shipping features. We have 2 separate fully functional web apps in prod: one for clinical users and one for patients. Our stack is currently entirely in JS/TS: Angular + Capacitor + Electron, React (internal tools), Amplitude (analytics), a fully serverless backend in AWS (Cognito, Appsync GraphQL, Lambda, DynamoDB). We have good functional & unit test coverage and CI/CD.

Our stack is in a great place already: highly scalable, cost effective, good test coverage, easily maintained, secure and performant with minimal to zero Ops. The product and codebase are stable and loved by our users. We write, test, deploy & ship new features rapidly.

Strategically, we prioritise strong frontend-backend decoupling through GraphQL and strong modularisation of frontend and backend into hierarchical pure modules, with high abstraction internal services and helpers, allowing ephemeral lances (similar to ‘squads’) to work on functional modules without needing to understand or be overly concerned about other parts of the codebase.

We’re looking to add talented clinical engineers who are hungry and understand the urgency and importance of what we’re doing for society.

First month - some examples of what to expect:

Help complete key third party API integrations, including with another legacy EMR systems and national APIs like e.g. the electronic prescribing service, allowing Anima to directly issue prescriptions.
Use domain expertise to build clinical modules, abstractions of best practice guidelines.
Iterate on a proprietary graph traversal algorithm to improve patient care and clinical value, and increasingly move away from explicit curation to implicit curation by NNs.
Ship important features that will directly increase delta lives saved in your first 2 weeks.
Join customer calls to develop a deep understanding of their fundamental motivations and needs/pain points, and translate this into optimal features to build.

Next 6 months - some examples of what to expect:

Help architect and deploy a scalable & cost effective ETL data pipeline with version control, outputting clean data ready for tokenisation.
Help deploy our active deep learning training & validation architecture to prod, so that we can correctly eat up our ‘1.0’ systems at the right time
Build cutting edge products like global context aware chat with semantic search, care orchestration and LLM-enabled cloud telephony e2e
Hire/scale the team, while implementing the right processes at the right times to maximise discounted team productivity and minimise discounted dev time cost for shipping.

6+ months - some examples of what to expect:

Potential to transition to a more managerial/executive role. Lead an autonomous lance of elite engineers to fix healthcare and save lives.
Work with the ML/data team to creatively ideate and ship features to improve ETL pipeline throughput and quality through a data-driven approach powered by analytics.
This is a permanent role: things get even more exciting down the line!