Company
Penelope Health
Annual salary
Not disclosed
Location
Hoxton, London, UK
Listed
9d ago
- Experience:
- 2 to 6 years
- Workplace:
- 5 days in-office in Hoxton, London
- Equity:
- Competitive equity
On-site in Hoxton, London, UK.
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About this Role
We are looking for a Founding Engineer with 2, 6 years of experience to join a four-person team building the infrastructure that makes healthcare billing deterministic. Penelope Health just announced $100M in committed funding and a design partnership with a $12B RCM company, this is a rare chance to shape the technical foundation of a company tackling a $200B+ market from day one.
What you need
- 2, 6 years of production backend or data engineering experience (post-graduation, not internships)
- Strong Python skills, significant work in lower-level languages (Rust, C/C++) is a plus as a signal of engineering depth
- Degree in computer science, engineering, or mathematics
- Ability to work on-site 5 days/week at the Hoxton, London office
- UK right to work or an existing visa that can be transferred (no new visa sponsorship)
What will you be doing?
Building the data pipeline that extracts structured clinical rules from hundreds of thousands of payer policy PDFs (5, 4,000 pages each) using LLM-powered extraction
Architecting and scaling the API and MCP endpoints that serve computable coverage rules at low latency to millions/billions of claims
Converting medical necessity criteria into FHIR queries and formal logic for deterministic evaluation against patient records
Taking end-to-end ownership of 0-to-1 projects, identifying high-leverage gaps and building solutions without being asked
Experimenting with AI coding workflows, agents, and new tooling as part of a lean, high-autonomy team
Frequently Asked Questions
How do I apply for the Founding Engineer (UK) role at Penelope Health? +
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Is this role remote? +
The listing gives the location as Hoxton, London, UK. 5 days in-office in Hoxton, London.
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