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About GenieConnect, Cera
Cera is the UK’s largest HealthTech company and one of Europe’s fastest-growing businesses – harnessing preventative technology and AI to take care out of Britain’s hospitals and into patients’ homes. Our 10,000 carers and nurses deliver around 2.5 million patient home visits a month – a volume greater than all A&E attendances across England.
Cera is now Europe’s largest HealthTech company and one of its fastest-growing businesses, with circa $500 million in annualised revenues and 150-fold growth in impact over the past five years. Cera has also gathered the largest home healthcare dataset in Europe, powering the development of cutting-edge AI products that have reduced hospitalisations by up to 70%, saving the UK Government and NHS more than £1 billion to date.
GenieConnect is a startup inside Cera, one of the UK's biggest home care providers. We build a remote care platform (companion robots, a care portal, mobile apps), that helps people live independently at home. The result of our initiatives: 96% medication compliance and around 10 hours of care saved per person per week.
We're a small enabled team shipping a full-stack Kotlin platform (backend, web portal, Android robot app). We want someone who's comfortable with ambiguity, opinionated about quality, and motivated by shipping things that matter to real people - and who's happy pairing and swapping context with a founding engineer and our Ops team rather than working in isolation. Agentic coding is the norm across Cera and our default here: at least 70% of your code should come through Claude Code or equivalent.
About the role
You'll be the second senior engineer on a platform that's already live across local authorities and NHS pathways — pairing directly with the engineer who built it from scratch. The foundation is solid; what's ahead is the more interesting problem: more AI, more scale, new care pathways. You'll help set the engineering direction on a full-stack Kotlin platform, with the autonomy of a startup and the contracts and reach of a major care provider behind you.
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What's ahead is the more interesting problem: more AI, more scale, new care pathways. You'll help set the engineering direction on a full-stack Kotlin platform, with the autonomy of a startup and the contracts and reach of a major care provider already behind you.
Responsibilities
- Small team, so you'll touch everything, working shoulder-to-shoulder with the current engineering team:
- Shape the technical roadmap with the existing dev team and the MD - architecture decisions, build-vs-buy calls, tooling choices. We make these calls together, not in a vacuum.
- Ship fullstack Kotlin across the backend (APIs, data pipelines, NHS/LA integrations), the care portal (web), and the robot app (Android).
- Sit with ops. Understand how carers and care managers actually use the platform and build from that.
- Integrate AI capabilities like virtual AI calls, predictive alerts, and falls detection. We work with AI partners and need someone who can wire it together end to end.
- Push agentic coding practices (Claude Code, Copilot, Cursor) so a small team delivers more than its size suggests.
- Keep the lights on: CI/CD, testing, observability, AWS. Small team, so you'll touch everything.
Qualifications and Skills
- The codebase is Kotlin Multiplatform and that's where we want the leverage on this contract, so we're looking for a Kotlin-first fullstack engineer. Longer term we may be more stack-agnostic.
- Backend: Ktor, Spring Boot, or similar. API design, databases. AWS: CI/CD, containers, infrastructure-as-code. Hands-on.
- Frontend: Kotlin/JS, Compose for Web.
- Willing to work across the full stack, Android included. You don't need deep mobile experience, but you're up for getting your hands dirty on the robot app when needed.
- Strategic instinct. You think about where the platform should be in 12 months, not just what's in the current sprint.
- Ops empathy. You care about how the product is deployed and used, and you go looking for that context.
- Agentic coding as your default. 70%+ of your daily work already runs through Claude Code, Copilot, or Cursor, and you can point to what that's enabled.
- Pace. You ship, you iterate, and you don't wait for permission.
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Carries Real Weight
- Regulated industry experience in health tech, social care, or fintech. Not essential, but if you already understand compliance, data governance, and audit trails you'll get up to speed faster.
- Kotlin Multiplatform (KMP) experience.
- CQC, NHS Digital, or DTAC frameworks.
- IoT protocols and device management at scale.
- Building LLM-powered features in production and configuration.
- Cloud service orchestration experience.
- Background in robotics or assistive tech.
Beyond the technical skills, we are looking for:
- AI-native by default. Claude Code, Copilot, Cursor — these are already how you work, not tools you're evaluating. You can point to what they've unlocked for you.
- Ownership instinct. You see a problem and take it. You don't wait to be assigned. Prioritise issues yourself and move them forward without needing handholding.
- Pragmatism. You ship the smallest thing that works, then iterate. Done beats perfect. Prioritise the work that delivers value fastest, then improve it from there.
- Business curiosity. You go find out how the work actually happens, not just how the spec describes it.
- Learning speed. The stack changes. You don't get attached to what you learned last year.
- Low ego. You can be wrong, change course, and give credit where it's due.
These aren't required, but they'll make you stand out:
- Regulated industry experience (health tech, social care, fintech, defence). Compliance and audit-aware engineering shortens ramp time.
- NHS-adjacent stack experience: FHIR UK Core, OMOP, SNOMED CT, GP Connect, DTAC.
- Building LLM-powered features in production, evals, drift monitoring, observability.
- Scheduling, matching, or constraint-solving algorithms at production scale.
- Tele-ICU-like, command-centre, or supervised-automation systems from any domain.
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