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Referment

Site Reliability Engineer (B3626E1)

London
£110k/yr
Posted about 23 hours ago
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Referment is working with a healthcare technology company whose systems support clinicians delivering ADHD and autism assessments. The platform processes sensitive health information and sits directly in important clinical workflows, making availability, security and data integrity central to the value it provides.

This Site Reliability Engineer will take end-to-end responsibility for business-critical backend systems, from technical design and deployment through monitoring and incident response. It is a hands-on role in a small engineering environment, suited to someone who can improve cloud infrastructure without relying on a separate platform team and who understands that dependable systems have a visible effect on clinical care.

The Role

  • Design, build, deploy and operate production backend systems that clinicians can rely on in day-to-day assessment work.
  • Develop the cloud infrastructure supporting the product and improve its reliability, scalability and operational clarity.
  • Establish effective monitoring, alerting and incident-response practices, including thoughtful participation in on-call ownership.
  • Design robust APIs, databases and schemas for structured information at scale.
  • Apply security and data-protection principles throughout design and delivery, including encryption, access control, data minimisation and proactive threat modelling.
  • Work with engineering, operational and clinical stakeholders to explain trade-offs and solve problems in an evolving startup environment.

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I’m in my final year doing Economics and I don’t know whether to apply for grad schemes now or do a masters first. What do you think?

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Graduate Consultant — 2026 Scheme

PwC·London, UK
£35,000/yr

Why you're a good match

Strong

Your economics background and your summer at a regional bank line up with what PwC looks for on the consulting scheme. Applications close in four weeks.

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Why you're a good match

You’ve got the grades and the economics background, and your bank internship is exactly the experience this scheme looks for. Apply soon — deadlines close within the month.

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Your summer at the bank plus your econometrics coursework map directly to the day-one responsibilities on this scheme — client modelling, market briefings, and deal support.

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What We're Looking For

  • At least five years of relevant professional experience.
  • A track record of owning business-critical backend systems through design, deployment, monitoring and on-call support.
  • Strong experience with AWS, GCP or Azure, including the ability to build and evolve infrastructure directly.
  • Solid API and database design skills, with experience designing schemas for structured data.
  • Practical experience handling sensitive personal or health information and applying GDPR and core data-protection controls.
  • Security-first engineering judgement and the ability to preserve reliability and data integrity while working quickly through ambiguity.

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Desirable Experience

  • Python, AWS, React, TypeScript or Auth0.
  • Infrastructure as code using Terraform or CDK.
  • Asynchronous processing pipelines, structured-data extraction or healthcare-system integrations.
  • SOC 2, ISO 27001 or related compliance frameworks.
  • Strong observability practices across logging, tracing and alerting.
  • Corporate IT fundamentals such as device management, identity and networking.

This could suit a senior backend, platform or reliability engineer who wants broad production ownership in a regulated healthcare setting. Applicants must already have the right to work in the UK; visa sponsorship is not currently available, and a background check is required before starting.

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Location

London, England, United Kingdom

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