About the job
Lead Backend and Platform Engineer
Role Overview: This is a full-time opportunity.
Salary: €92,000 - €110,000
Location: Remote — Ireland
About the Role
We are seeking a Platform Engineering Lead to spearhead the technical implementation and scalability of our cloud infrastructure. In this vital role, you will serve as the technical authority for our backend team, ensuring that our Digital Pathway Platform is designed for optimal scalability across international healthcare systems.
This leadership position is crucial for driving technical excellence and will have a significant impact on improving the lives of millions of patients by enabling a cutting-edge asynchronous and remote healthcare delivery model.
Key Responsibilities
- Platform Ownership: Lead the architecture, security, and stability of our GCP platform, preparing it for sustained growth of 100% YoY.
- Team Leadership: Inspire and manage a high-performance backend engineering team (3-5 members), cultivating a culture that prioritizes both speed and quality.
- Efficiency Optimization: Act as the primary driver for technical cost management and resource allocation to ensure efficient scaling as our user base expands.
- Integration Architecture: Design robust systems capable of deep integrations with external partner APIs, effectively managing various authentication mechanisms and resilient data strategies.
- Technical Strategy: Collaborate closely with the CTO and Director of Engineering (currently being hired) to align technical execution with overarching business goals.
- Operational Excellence: Implement best practices in engineering, including Infrastructure as Code (IaC) using Terraform, CI/CD processes, and security readiness to mitigate major production incidents.
- AI Workflow Leadership: Champion innovative agentic workflows within the team.
Why This Opportunity Stands Out
We are on the frontier of developing a new healthcare operating model that emphasizes remote, asynchronous, and increasingly personalized care. You will be instrumental in building the infrastructure that facilitates this transformation. This role offers a unique chance to exercise genuine technical ownership over a mission-critical platform.
About Us
Isla Health is a venture-backed health tech startup, committed to supporting our partners across the UK, EU, and internationally. We are focused on revolutionizing healthcare delivery through innovation and technology.

