Cavendish Professionals
Founding Engineer
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Founding Engineer
Our client is looking for a Founding Engineer with 2–6 years of experience to join a four-person team building the infrastructure that makes healthcare billing deterministic. They just announced $100M in committed funding and a design partnership with a $12B RCM company — this is a rare chance to shape the technical foundation of a company tackling a $200B+ market from day one.
The Role
- Building the data pipeline that extracts structured clinical rules from hundreds of thousands of payer policy PDFs (5–4,000 pages each) using LLM-powered extraction
- Architecting and scaling the API and MCP endpoints that serve computable coverage rules at low latency to millions/billions of claims
- Converting medical necessity criteria into FHIR queries and formal logic for deterministic evaluation against patient records
- Taking end-to-end ownership of 0-to-1 projects — identifying high-leverage gaps and building solutions without being asked
- Experimenting with AI coding workflows, agents, and new tooling as part of a lean, high-autonomy team
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Key Requirements
- 2–6 years of production backend or data engineering experience (post-graduation, not internships)
- Strong Python skills — significant work in lower-level languages (Rust, C/C++) is a plus as a signal of engineering depth
- Degree in computer science, engineering, or mathematics
- Ability to work on-site 5 days/week at the Hoxton, London office
- UK right to work or an existing visa that can be transferred (no new visa sponsorship)
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For more information – please apply for this job or send your CV directly to cristiana@cavendishprofessionals.com
Cavendish (Recruitment) Professionals Ltd are proud to be an equal opportunity employer and we believe that inclusivity begins with the candidate experience. All qualified applicants will receive consideration for employment regardless of gender, race, age, sexual orientation, religion, or belief.
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