Elixir Product Engineer

Company: Dyad
Apply for the Elixir Product Engineer
Location: London
Job Description:

Dyad’s mission is to improve the delivery and efficiency of healthcare.

We are building a platform to model and manage the flow of information within healthcare organisations, improving outcomes for patients, payers, and healthcare providers. We believe data handling in current healthcare systems is needlessly complex and disconnected, leading to isolated and inefficient decision making. To showcase how this technology can advance the delivery of healthcare and improve lives, we build and deploy products for healthcare providers and payers into the UK and US markets.

Dyad is an energetic, early-stage startup, currently around twenty employees. Our team is growing as we explore new markets and opportunities. We are passionate about technology and its applications in worthwhile ventures. New joiners will have a significant impact on the direction of the company, as well as our culture.

Our productsDyad develops products for healthcare operations in NHS primary care and in the US for providers and payers. This includes:

  • BetterLetter, our human-in-the-loop AI tool helping practices decrease their admin burden in processing clinical letters. We use this to reduce staff time spent identifying codes to be applied to the record as well as suggesting follow-up tasks and workflow optimisations.
  • BetterQuality, our payer-focused tool for improving compliance against a range of quality measures including HEDIS, STARs, eCQM, MIPS and more.

The RoleWe are seeking Product Engineer with strong fundamental software development and self-management skills to join us at a rapid growth stage and help us serve an ever-increasing customer base. This role is instrumental in expanding the scope and impact of our flagship product on the UK’s primary healthcare.

You will be working on a complex system in an agile, self-organizing team that treats each other with kindness and shows up for one another. You will be involved in all steps of the product development process—from refining user stories to full-stack implementation and building up observability.

By joining at this stage, you have the opportunity to impact our core functionality, processes and technical culture.

Responsibilities

  • Work closely with internal customers, product and design to deliver features for our flagship product written in Elixir/Phoenix and LiveView.
  • Participate in technical design discussions and contribute to technical decisions that shape our product.
  • Lead and participate in code reviews, promoting best practices and knowledge sharing within the team.
  • Maintain comprehensible and lean codebase by writing simple, expressive code that prioritises clarity and minimises accidental complexity.
  • Coordinate with external customers on bug investigation and validation.
  • Manage infrastructure and support the growth of the business.
  • Continuous learning and improvement on the software development skills.

Requirements

  • At least 5 years of production experience in software development. No resumes without this will be considered.
  • Demonstrated expertise in full-stack development with Elixir/Phoenix including production applications serving users at scale.
  • Working knowledge of test automation and agile tech practices. Including Clean Code, SOLID principles, coupling & cohesion, and CI/CD.
  • Familiarity with containerisation, and cloud-based infrastructure.
  • Ability to troubleshoot and optimise SQL queries for performance.
  • Excellent communication skills and the ability to work in a fast-paced, collaborative environment where pair programming is a norm.

Nice to have

  • Experience working in complex, regulated domains.
  • Experience working with AI or data science teams.
  • Practical experience with Domain-Driven Design.
  • Experience with Python.
  • Experience building distributed systems.
  • Competitive Salary
  • Company Pension
  • 25 days of paid annual leave (pro-rata)
  • A flexible, hybrid working environment
  • A modern, dog-friendly office located in Farringdon with free drinks
  • Private pension
  • Remote working available
  • Future equity package

Interview ProcessOur hiring process

  • Introductory call
  • A technical interview with the Engineering team of 120 minutes.
  • A product interview of 45 minutes

We offer Skilled Worker visa sponsorship for UK-based candidates only (no overseas sponsorship).

#J-18808-Ljbffr…

Posted: May 29th, 2026