Tech Lead (Backend)

Isla · Ireland (Remote) · Full-time · Posted 2026-06-10

Salary: EUR 92,000–110,000

Workplace: remote

Department: Engineering

Description

Tech Lead (Backend)

🕙 Role details: This is a full time role

💷 Salary: €92,000 - €110,000

🌍 Location: Ireland - Remote

The role

We are looking for a Platform Engineering Lead to own the technical implementation and scalability of our cloud infrastructure. As the technical authority for our backend team, you will be responsible for ensuring our Digital Pathway Platform is architected for seamless scalability across international health systems.

This is a pivotal leadership position where you will drive technical excellence, directly impacting the lives of millions of patients by enabling a new asynchronous and remote operating model for healthcare.

What You’ll Do

Own the platform & infrastructure: Lead the architecture, security, and stability of our GCP platform, ensuring it is built for 100% YoY growth.
Lead the backend team: Manage and inspire a high-performance team of senior and mid-level backend engineers (3-5 people), fostering a culture of engineering excellence that balances pace with uncompromising quality.
Drive platform efficiency: Act as the primary steward for technical cost-optimisation and resource management, ensuring the platform scales efficiently as our user base grows.
Architect complex integrations: Design robust systems to handle deep integrations with external partner APIs, managing diverse authentication mechanisms and resilient data patterns.
Drive technical strategy: Act as a key partner to the CTO and Director of Engineering (currently also being hired), aligning technical execution with business objectives.
Embed operational excellence: Refine best-in-class engineering practices - including IaC via Terraform, CI/CD, and security audit readiness - to prevent major production incidents.
Lead AI workflows: Act as an authority to drive agentic workflows forwards across the team

Why This Role is Unique

We are building a new operating model for healthcare in which care is delivered remotely, asynchronously and increasingly personalised. You will be building the infrastructure for how we deliver this shift. This role offers the rare opportunity to exercise true technical ownership over a mission-critical platform.

You will have the autonomy to set the technical pace, drive architectural decisions, and foster a culture of engineering excellence across the backend organisation. If you are a builder who thrives on high-stakes platform stability and wants to lead a team through 100% YoY growth, this role provides a level of agency and impact rarely found in later-stage environments.

Who We Are

Isla Health is a venture-backed healthtech startup, supporting our partners across the UK, EU and internationally beyond this. We have built a new category of healthcare technology which we refer to as the Digital Pathway Platform (DPP). Founded in 2019, we now support 25% of NHS Trusts and see over 2 million submissions on the platform each year.

As a company we are all laser focused on enabling a scalable model of care which empowers healthcare staff and improves patient outcomes. The DPP supports this by setting up digital pathways which are remote-first and asynchronous. As pathways harness sophisticated automation, clinical algorithms and intelligent cohorting, patients always take the optimised route through their pathway, thereby delivering a step change in clinical productivity.

The Team

You will be joining a lean & high performing engineering organisation. We value pace, but also hold really high quality standards for each other.

The structure: You will lead the Backend/Platform team. As the lead, you will report directly to our Director of Engineering.
Cross-functional collaboration: You’ll work in a tight loop with our Product, Design, and Frontend teams.
Our tech & tools:
We lean into modern, scalable infrastructure (Node.js, TypeScript, GCP). We prioritise tools that enable velocity - such as Terraform and automated CI/CD.
We also lean heavily into AI, and you’ll be able (encouraged) to use whatever tools you need to scale your own and the team’s workflows

Requirements

Proven technical leadership: Experience as a Lead or Senior Engineer, ideally having managed scaling challenges in a high-growth startup.
Cloud & platform mastery: Deep hands-on experience with a cloud platform and infrastructure-as-code (Terraform).
Backend expertise: Expert-level understanding of Node.js and TypeScript.
Integration experience: Comfortable architecting platforms that interact with diverse third-party APIs and robust authentication protocols.
People management: A passion for mentoring and managing engineers.

Benefits

🏡 Work from home - this is a remote first role

🕜 Flexible working times

🌍 Work abroad for up to 90 days per year

🏖️ 25 days annual leave on top of Irish bank holidays. Plus, take your birthday off and another significant day off of your choice 🎂

🍜 Quarterly meal on us enjoy up to £75 to treat friends or family

🧘‍♀️ Private medical insurance

🎉 Enhanced parental leave to support your family when it matters most

🎳 Quarterly team socials based in London

📚 An annual learning budget to support your growth

💗 Work with purpose - you'll be delivering social impact through improved patient healthcare

🚀 Join at an exciting stage - we're a well-funded, rapidly growing health tech company tackling a global challenge

🌱 Help shape the future of Isla - your ideas won't disappear into layers of management. You'll have real ownership, real impact, and help define how we grow the business

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What is the hiring process for this role at Isla?

Hiring Process

Interviewing with us for the Lead Backend role will be split into 4 stages (all conducted virtually):

1) A screening interview with one of our People Operations team

2) A take home technical task

3) A technical interview with two of our Engineers. This will be a strategy deep dive: We will run through a scenario to challenge you on your decision making, the speed of your technical understanding, your communication and your out-of-the-box thinking

4) A final interview with our Director of Engineering (Dylan) and CTO/Co-founder (James)

Diversity and Inclusion

Isla is an equal opportunity employer and is committed to building an inclusive and diverse team. We encourage all qualified candidates to apply. Isla does not discriminate against anyone on the basis of their race, gender, disability, religion, national origin, age, or any other protected category. We choose to celebrate our team’s differences and see them as one of our most valuable assets.

Recruitment is not one-size-fits-all and we're happy to tailor our hiring process to better meet the needs of individual applicants. Please email [email protected] with any requests for support.

Apply

Apply at Isla

About the company

What Isla does: Isla provides a digital pathway platform for healthcare providers that turns repetitive clinical tasks into intelligent, scalable workflows. How its product works: The platform automates routine tasks and routes work through designed workflows to boost efficiency, capacity, and patient flow. How it differs from competitors: Isla emphasizes accountability and transparency as a B Corp and focuses on continuous improvement within a scalable workflow system specifically for healthcare, setting it apart from generic workflow tools. Isla’s goal: to improve productivity, capacity, and patient flow in healthcare while using business as a force for good.

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

London, United Kingdom

Founded

2019

Get referred to Isla

See people who can refer or advise you

Simplify's Take

What believers are saying

IDA Ireland backed Isla’s April 14, 2026 Sligo hub and 20 hires.
Royal Cornwall and ChelWest show tangible savings, including £731k yearly at ChelWest.
Trusted by 40+ partners and 40+ specialties, Isla has expanding cross-service adoption.

What critics are saying

NHS concentration is dangerous; a procurement reset could stall growth after 2026-09.
International expansion from Ireland needs localization, sales, and support; execution slips burn capital fast.
Competitors like current virtual-ward vendors can undercut Isla before European traction lands.

What makes Isla unique

Isla’s DPP is UKCA-marked and active across 32 NHS trusts as of 2026-09-09.
The platform handles referral-to-discharge workflows, remote monitoring, and virtual wards in one system.
Isla exceeded four million submissions in August 2026, proving sticky clinical usage.

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Benefits

Hybrid Work Options
Flexible Work Hours
Remote Work Options
Paid Vacation
Meal Benefits
Wellness Program
Health Insurance
Parental Leave
Stock Options
Company Social Events
Professional Development Budget

Company News

IDA Ireland

Apr 14th, 2026

Isla Health selects Ireland for European hub, creating 20 high-value jobs

* home * latest news * press releases * Isla Health selects Ireland for European hub, creating 20 high-value jobs. Isla Health selects Ireland for European hub, creating 20 high-value jobs 14/04/2026 Ireland Isla Health, the team behind the Digital Pathway Platform (DPP), today announced the launch of its new European headquarters in Ireland. Supported by the Irish government, through IDA Ireland, the move marks a major step in Isla's mission to take its technology beyond the UK and into broader European and global markets. Over the next three years, Isla plans to create 20 high-value roles in Ireland. The expansion follows a period of rapid growth within the UK, where Isla's digital pathway platform has become a staple for clinicians looking to automate routine tasks and manage patient care remotely. The new Irish team will focus on software engineering, clinical informatics, and product management, serving as the primary engine for Isla's international R&D and customer success operations. Minister for Enterprise, Tourism and Employment, Peter Burke, said: Isla Health's decision to establish its European headquarters in Ireland highlights its country's reputation as a hub for innovation and talent. This investment not only strengthens Ireland's position in the digital health sector but also creates valuable new opportunities for its people and supports this Government's commitment to balanced regional development. Peter Hansell, CEO and Co-founder of Isla Health, said: I'm thrilled to be able to begin the next phase of its work with Isla in Ireland. IDA Ireland is seeing a tremendous impact within the UK NHS and with several Irish hospitals, so now is the time to extend that impact internationally with the launch of its new base in Sligo. James Jurkiewicz, CTO and Co-founder of Isla Health, added: Ireland's technical talent is the perfect foundation for its team as IDA Ireland work to support the country's healthcare evolution. IDA Ireland is focused on making care easier to deliver. Its Irish hub will continue to develop the Digital Pathway Platform (DPP) to simplify complex clinical workflows, handling the heavy lifting of admin so that clinicians can keep their focus where it belongs, on the patient. This isn't just about technology; it's about building a scalable infrastructure for the future of European healthcare. Michael Lohan, CEO of IDA Ireland, said: I am pleased to welcome today's announcement by Isla Health which is set to bring valuable investment and high-skilled jobs. This announcement demonstrates further the North West's growing reputation as a centre for technology and innovation and IDA Ireland looks forward to working with Isla Health as they grow their presence here. Shifting the model of care The expansion comes as healthcare systems worldwide face mounting pressure to deliver "Right Care, Right Place, Right Time." Isla's digital pathway platform allows patients to securely share digital media (like photos, sound recordings, or videos of symptoms) from home. This "patient-as-partner" approach reduces unnecessary travel, cuts down on hospital wait times, and provides clinicians with real-time data to make better decisions. Beyond the clinic, Isla's technology also supports global sustainability goals. By digitising the patient journey, Isla has already saved millions of travel miles, helping healthcare providers meet ambitious carbon-neutral targets. Building the future of healthtech in Ireland This expansion represents a major investment in local talent, as Isla looks to recruit the technical and clinical-support experts who will lead the next wave of healthcare transformation. By establishing a dedicated home in Ireland, Isla is creating a centre of excellence where Irish-led innovation will be developed and exported to healthcare providers worldwide. Join the mission: Isla Health is currently hiring across software engineering, clinical informatics, and customer success. Explore all live opportunities and help IDA Ireland shape the future of care: Isla Health Careers - Ireland Hub You might also be interested in. Siemens Healthineers unveils €10 million cutting-edge R&D centre for healthcare laboratory equipment in Swords, Ireland. Siemens Healthineers has officially opened a new Centre of Excellence for Immunoassay Instrument Research & Development in Swords Hollister ballina transforms into 'epicentre of global expertise' with €80m investment. Ostomy care manufacturer anticipates approx. 50 new jobs will be created by site-wide transformation

IDA Ireland

Apr 14th, 2026

Isla Health selects Ireland for European hub, creating 20 high-value jobs

* home * latest news * press releases * Isla Health selects Ireland for European hub, creating 20 high-value jobs. Isla Health selects Ireland for European hub, creating 20 high-value jobs 14/04/2026 Ireland Isla Health, the team behind the Digital Pathway Platform (DPP), today announced the launch of its new European headquarters in Ireland. Supported by the Irish government, through IDA Ireland, the move marks a major step in Isla's mission to take its technology beyond the UK and into broader European and global markets. Over the next three years, Isla plans to create 20 high-value roles in Ireland. The expansion follows a period of rapid growth within the UK, where Isla's digital pathway platform has become a staple for clinicians looking to automate routine tasks and manage patient care remotely. The new Irish team will focus on software engineering, clinical informatics, and product management, serving as the primary engine for Isla's international R&D and customer success operations. Minister for Enterprise, Trade and Employment, Peter Burke, said: Isla Health's decision to establish its European headquarters in Ireland highlights its country's reputation as a hub for innovation and talent. This investment not only strengthens Ireland's position in the digital health sector but also creates valuable new opportunities for its people and supports this Government's commitment to balanced regional development. Peter Hansell, CEO and Co-founder of Isla Health, said: I'm thrilled to be able to begin the next phase of its work with Isla in Ireland. IDA Ireland is seeing a tremendous impact within the UK NHS and with several Irish hospitals, so now is the time to extend that impact internationally with the launch of its new base in Sligo. James Jurkiewicz, CTO and Co-founder of Isla Health, added: Ireland's technical talent is the perfect foundation for its team as IDA Ireland work to support the country's healthcare evolution. IDA Ireland is focused on making care easier to deliver. Its Irish hub will continue to develop the Digital Pathway Platform (DPP) to simplify complex clinical workflows, handling the heavy lifting of admin so that clinicians can keep their focus where it belongs, on the patient. This isn't just about technology; it's about building a scalable infrastructure for the future of European healthcare. Michael Lohan, CEO of IDA Ireland, said: I am pleased to welcome today's announcement by Isla Health which is set to bring valuable investment and high-skilled jobs. This announcement demonstrates further the North West's growing reputation as a centre for technology and innovation and IDA Ireland looks forward to working with Isla Health as they grow their presence here. Shifting the model of care The expansion comes as healthcare systems worldwide face mounting pressure to deliver "Right Care, Right Place, Right Time." Isla's digital pathway platform allows patients to securely share digital media (like photos, sound recordings, or videos of symptoms) from home. This "patient-as-partner" approach reduces unnecessary travel, cuts down on hospital wait times, and provides clinicians with real-time data to make better decisions. Beyond the clinic, Isla's technology also supports global sustainability goals. By digitising the patient journey, Isla has already saved millions of travel miles, helping healthcare providers meet ambitious carbon-neutral targets. Building the future of healthtech in Ireland This expansion represents a major investment in local talent, as Isla looks to recruit the technical and clinical-support experts who will lead the next wave of healthcare transformation. By establishing a dedicated home in Ireland, Isla is creating a centre of excellence where Irish-led innovation will be developed and exported to healthcare providers worldwide. Join the mission: Isla Health is currently hiring across software engineering, clinical informatics, and customer success. Explore all live opportunities and help IDA Ireland shape the future of care: Isla Health Careers - Ireland Hub You might also be interested in. Siemens Healthineers unveils €10 million cutting-edge R&D centre for healthcare laboratory equipment in Swords, Ireland. Siemens Healthineers has officially opened a new Centre of Excellence for Immunoassay Instrument Research & Development in Swords Hollister ballina transforms into 'epicentre of global expertise' with €80m investment. Ostomy care manufacturer anticipates approx. 50 new jobs will be created by site-wide transformation

HTN Health Tech News

Feb 18th, 2025

The Rotunda Hospital partners with Isla Health to promote personalised digital pathways in Ireland

The Rotunda Hospital, a leading maternity hospital based in Dublin, has entered into a strategic partnership with Isla Health, a UK-based company that provides a digital pathway platform, to digitise and personalise patient pathways.

European Supermarket Magazine

Mar 7th, 2024

Isla By Zummo Wins IF Design Award 2024 In The Retail Category

Zummo has announced that its exceptional product, Isla, has been honoured with the prestigious IF Design Award 2024, consolidating its position at the forefront of design and functionality.

KDRTV

Dec 4th, 2023

Kenya Forest Service Clarifies Reports Of Handing Over 60,000 Hectares of Mau Forest to Dutch Firm

KFS has been partnering with ISLA in rehabilitation and conservation of the South West Mau Forest for almost 10 years.

Isla

Backend Tech Lead

About the job

Tech Lead (Backend)

Description

The role

What You’ll Do

Why This Role is Unique

Who We Are

The Team

Requirements

Benefits

What is the hiring process for this role at Isla?

Hiring Process

Apply

About the company

Get referred to Isla

Simplify's Take

What believers are saying

What critics are saying

What makes Isla unique

Benefits

Company News