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Fullstack Engineer (Senior / Leadership)
🌎 worldwide
471d ago

About Anima

At Anima, we're building the next generation care enablement platform for healthcare teams. You'll be building a product that saves lives; multiple Clinical Engineers (ex-MDs and fullstack SWEs) quit lucrative medicine jobs to join Anima for that very reason!

Our ambition is to be the OS for all of healthcare and life sciences, through a proprietary active learning, crowdsourcing training architecture - we call it Anima 2.0. We already have one of the biggest, highest quality labelled datasets in the world.

We're profitable, growing at 300-400% MoM, and went from $0 ARR to $1m ARR in 6 months from launch (Apr '22). That's pretty unprecedented in SaaS, never mind healthcare! We have a pretty unique hacker culture at Anima: almost everyone is technical and can code. A 'knights of the round table' structure and thinking from first principles is core to our culture, and is how we've made such rapid progress. It's reflected in how we operate:

  1. There's no separate product & engineering teams - instead, we have Clinical Engineers who are both their own customers (MDs) and are strong fullstack engs, collaborating with pure software engineers. Due to the quality of our team, there's a heavy focus on coaching and teaching, with minimal to no line management.

  2. We're relentlessly resourceful - in 14 months, we've built an extremely loved enterprise app (NPS = 87) that users have said 'seems too good to be true'. Anima can take an information complete medical history as good or better than a typical human doctor, and automates patient comms and clinical notes.

  3. Anima is a safe haven for free thinkers and we've been careful to build a culture where everyone feels comfortable being their complete self, without ever needing to self-censor. Our hiring acceptance rate is around 0.5-0.8%, which is lower than YC. You're joining hyper elite special forces, and your crewmates will never let you down or waste your time.

  4. We hire candidates from all over the world. We have remote hobs in EU West and NA, and plans to seed some in person teams in those areas too in the next 12 months (in addition to our fully remote teams).

  5. We have a good time :) we've had team lunches in Duck & Waffle, Breakfast Club, dumplings in Chinatown, had private screenings in our own cinema, booked out the Sky Pool etc. We get the whole team together at least twice a year for team retreats, with the next one planned to be in South Africa.

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.


The quickest way to get your code into the hands of users. In 14 months, we built the most advanced Care Enablement platform that exists.


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:

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 3 concrete examples with specs and timelines (I’d be delighted to demo any of these to you):

  • James, a clinical engineer (a SE + ex-NHS doctor), 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. Now he’s created v2 of the tool, built on top of a proprietary graph database (AnimaDB) because none of the third party services were sufficient for our requirements.

  • 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 built from low-level services like Appsync, GraphQL, VTL, not Twilio). We’ve started using it instead of Slack internally ?

  • Alec, a pure software engineer, 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. You see joining Anima as potentially your shot to do this.

  • Obsessively concerned with UX, and optimises for this when building features rather than arbitrary technical goals.

  • Bored and frustrated at big companies; feel held back by red tape, bureaucracy and poor decisions.

  • Keen to understand the big picture & entire context of the company and vertical; has a sense of urgency for growth towards a senior executive role.

  • Expert competency in TS and reasonably tech and language agnostic. Comfortable with key frameworks/libraries like Angular, Node and React. Able to work full stack in JS/TS. Values pragmatism and open discussion from first principles rather than following dogma.

  • Seeks to maximise not only self productivity, but combined team productivity, communicating the right things at the right time through the right channels (verbal/Slack/Notion).

  • 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.

  • Intellectually curious and loves learning - able to tackle entirely novel challenges that lack prior precedent through applying strong CS fundamentals and first principles thinking, creatively using the right data structures & algorithms to solve problems.

  • Familiarity with AWS (APIG, DynamoDB, Lambda, Cognito, Amplify, CloudFormation) and/or hungry to learn.

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

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 + Ionic + Electron, React (internal tools), Amplitude (analytics), a fully serverless backend in AWS (Cognito, APIG with REST & Websocket, 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.

We’re looking to add talented software 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 system. Keep shipping features that result in a high retention delta (some examples: multi-disciplinary chat, desktop notifications, one-click specialist referral).

  • Iterate on a proprietary graph traversal algorithm to improve patient care and clinical value.

  • Improve & add to existing analytics to optimize feature selection in sprints.

  • Join customer calls to develop a deep understanding of their fundamental motivations and needs/pain points.


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

  • 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.

  • 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!

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