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Neko Health · London

Principal Platform Engineer

Verified Sep 18, 2026

HealthTech

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

The Role
This is a 0→1 build. You'll own the architecture, build and rollout of Neko's internal AI developer platform, shaping how our engineers design, ship and operate software through agentic, AI-assisted workflows.
It's a hands-on technical leadership role. You'll be the person setting long-term direction for AI agents, tooling and the systems underneath them, while also doing the work. The expectation is that what you build gets used across teams and meaningfully changes how engineering happens here.

What You'll Deliver
In the first 6 months

A clear architectural direction for the platform

Initial components shipped and adopted by early teams

Measurable improvements to developer speed, reliability and autonomy

Genuine organic adoption across engineering, driven by value not mandate

By month 12
A substantive shift toward agentic, engineer-led development workflows

Platform scaled beyond pilot groups to multiple teams

  • Clear ownership models for agents, tooling and supporting systems
  • Long-term architecture defined and moving toward maturity
  • What We're Looking For

Must-haves

Proven experience building and shipping an internal developer platform, hands-on, not advisory

A strong track record leading agentic or AI-assisted development work that engineers actually use day-to-day

Real backend engineering depth with production systems, recent Java or C# strongly preferred

Experience rolling out platform tooling to 20-30+ developers with meaningful adoption

Expertise with workflow engines such as AWS Step Functions, Azure Durable Functions, Temporal, Conductor or Dagster

The ability to drive change through influence and credibility, not positional authority

10-15+ years of engineering experience with substantial platform ownership

Nice to have
Full-stack exposure, though backend depth is the priority

Background in product-led SaaS or organisations with strong internal developer tooling culture

Principal Platform Engineer Neko Health

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Frequently asked questions

How to apply for Principal Platform Engineer at Neko Health?

You can apply for the Principal Platform Engineer role at Neko Health by visiting their careers page. Click the "Apply" button above to go directly to the application.

Where is the Principal Platform Engineer position located?

This role is based in London.