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Fullstack Software Engineer (Senior / Leadership)

Anima
Full-time
Remote

Do you wish your work had greater tangible impact? ๐ŸŒŸ

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 Software Engineers) quit established medical careers to join Anima, for creating impact at scale!

Our mission is to deliver precision medicine to everyone in the world, within 24 hours. We know exactly how to get there and weโ€™re moving ferociously with focus.

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 100% MoM, and went from $0 ARR to $4m ARR in 19 months from launch (Apr '22). Today, we are one of the fastest growing health-tech teams in the world with top 5% of SaaS growth rate - and strong growth endurance with top 5% CAC + gross margins.

Backed by a top 1% VC and Y Combinator (home of epic companies like Airbnb, Coinbase, Stripe) ๐Ÿš€

We were one of the hottest companies of YCโ€™s W21 batch: we raised over $2.5m before Demo Day within 4 days, led by Hummingbird (consistently top 1% of global returns), giving us a runway of 4+ years. Earlier this year, we closed an over subscribed Series A round of $12mm, led by Molten Ventures.

**We have a pretty unique hacker culture at Anima with a flat hierarchy: 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 founder, 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.
    • We've been able to make huge strides in the NHS because we all deeply understand the problem, grading tasks based on our engineering expertise, 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.
  2. We're relentlessly resourceful - in 14 months, we've built an extremely loved enterprise app 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. Our gross retention is >90%.
  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 unfiltered self, sharing their honest thoughts, feelings without ever needing to self-censor. With a highly selective acceptance rate of around 0.5-0.8%, joining Anima means becoming part of a team with exceptional talent density and your crewmates will never let you down or waste your time.
  4. We hire talented people who 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. 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.
  5. 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 isnโ€™t clear. We believe all future managers should be formidable individual contributors & domain experts.
  6. We hire candidates from all over the world. We have remote hubs in EU West, NA and India, and plans to seed some in person teams in those areas too in the next 12 months (in addition to our fully remote teams). We offer flexibility over work schedule and location.
  7. 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 last ones in Brittany (France), La Paz (Mexico) and Tuscany (Italy)!

Join Anima and save lives ๐ŸŒŸ

Join Anima, and you'll solve super interesting technical problems that will save lives.

Hi - I'm Shun, an MD and CEO of Anima. Thanks for checking out our job ad! Weโ€™re tackling a problem that has affected everyone in some way.

  1. Millions die every year because their medical problems arenโ€™t treated quickly enough. Hundreds of millions suffer pain, worry and discomfort needlessly because of long waiting times. I founded Anima because I was tired of breaking bad news to patients who later died, because they didnโ€™t get a great care plan quickly. So many of those deaths were avoidable.
  2. Weโ€™ve built an ambitious โ€˜Care Enablement Platformโ€™ to automate the entire healthcare workflow, starting with primary care - combining online consultation with productivity tools and a single source of patient data truth. Anima has next generation features like autogenerating coded clinical notes and patient comms, and a real time multiplayer dashboard with a Slack-like chat experience that supports 1000s of discussion channels per clinic.
  3. By enabling care, we get patients optimal care within 24 hours and 10x the clinical workflow in the process.

Users love our product. The biggest testament to this is that most of our growth comes from virality and referrals with $0 spent on marketing, despite being B2B/enterprise.

We are pretty unique among health techs: we have both medical and engineering domain expertise. I wrote the Anima 1.0 backend in Node, and also built Annie 1.0, a tuned LLM coupled with a policy engine, that can output structured medical summaries, potential differential diagnoses and management plans. As a doctor and former HM Treasury health policy advisor managing ยฃ4bn budgets in UK health spending, Iโ€™m a technical, product-focused CEO with full stack domain knowledge and personal experience of the problem weโ€™re solving.

**Anima has a unique hacker culture: Everyone is technical with almost complete autonomy akin to โ€˜Knights of the Round Tableโ€™.**

Over 80% of the product team are ex-technical founders, former CTOs. We also have many technical domain experts (โ€™fullstack Clinical Engineersโ€™, ex-MDs) who are their own users.

Everyone in product is technical at Anima and can write production code. This makes for a truly flat hierarchy. Thereโ€™s no separate founder, product or customer team - there is very little communication loss because we all deeply understand the problem, engineering, grading for potential features, and trade-offs. Deep domain knowledge & a tight feedback loop between product dev and user pain is how launched in the highly complex health space, growing from 0 to over 100,000 MAUs in months.

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, itโ€™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 2 concrete examples with specs and timelines (Iโ€™d be delighted to demo any of these to you):

  • Alex, a clinical engineer, built โ€˜Slack for medical teamsโ€™, 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, not Twilio).
  • Dennis built a lightning fast cloud document library for clinics in a few days, with <100ms traversals through preloading. Recently, when faced with an ancient legacy API that took 30s to return an array of hits, he hacked together an async indexing service with caching that reduced latency to xtagstartz2s without harmful race conditions. He built and deployed to prod this in under 24 hours.