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C the Signs

Lead Data Engineer

full-time Hybrid

AI overview

Lead the design of a cloud-native healthcare data platform while developing robust pipelines and ensuring HIPAA compliance across integrations.

We are seeking a Lead Data Engineer to architect, build, and scale our next-generation healthcare data platform. In this role, you will lead the effort to design robust pipelines, modernize data architecture, and ensure high-quality ingestion and transformation of clinical and operational data. You’ll collaborate closely with product, analytics, clinical informatics, machine learning, and engineering teams to deliver trusted, timely, and compliant insights.

This is a hands-on leadership role ideal for someone who enjoys setting technical direction while still contributing code and guiding stakeholders through complex healthcare data challenges.

Responsibilities

Architecture & Strategy

  • Lead design and evolution of our cloud-native data platform built primarily on Google Cloud Platform, including BigQuery, Cloud Storage, Pub/Sub, Cloud Run, Airflow (Cloud Composer), and Healthcare API.
  • Inform strategic decisions around multi-cloud or AWS interoperability when needed.
  • Establish data engineering best practices, coding standards, and architectural patterns.

Pipeline Development

  • Build scalable ETL/ELT pipelines using dbt for transformations and Airflow for orchestration.
  • Develop ingestion pipelines for clinical and administrative data in HL7, FHIR, DICOM, and custom formats.
  • Develop ingestion and transformation pipelines to be used for AI/ML development and model training.
  • Implement streaming and batch dataflows using Pub/Sub, Dataflow, and serverless compute.
  • Support or guide integrations with AWS-based partner systems or AWS-hosted data sources when applicable.

Data Modeling & Warehousing

  • Design and maintain BigQuery datasets, semantic layers, and warehouse structures.
  • Leverage industry standards such as FHIR resources for canonical healthcare models.
  • Provide guidance on data modeling and warehouse best practices across both GCP and AWS ecosystems.

Data Quality, Observability & Governance

  • Implement data quality frameworks, automated testing, and monitoring.
  • Ensure HIPAA compliance and proper handling of PHI/PII across all pipelines and cloud environments.
  • Drive lineage, documentation, metadata governance, and dbt docs adoption.

Leadership & Collaboration

  • Partner with analytics, product, clinical informatics, and security teams to deliver high-quality, trustworthy data products.
  • Provide oversight and technical direction for multi-cloud data integrations with AWS-based systems or partners.
  • Assist in the recruitment and development of junior data engineers

Requirements

  • 7+ years of data engineering experience; 2–3+ years in a lead or senior technical role.
  • Deep, hands-on expertise in GCP, particularly:
    • BigQuery
    • GCP Healthcare API (FHIR and DICOM stores)
    • Cloud Storage, Pub/Sub, Cloud Run/Functions
  • Strong proficiency with:
    • dbt (Core or Cloud)
    • Airflow (Cloud Composer or self-managed)
    • Python and advanced SQL (BigQuery preferred)
  • Hands-on experience with healthcare standards:
    • FHIR (R4/US Core), HL7 v2/v3, DICOM, C-CDA, X12
  • Strong understanding of PHI handling, HIPAA compliance, and healthcare interoperability.

Preferred

  • AWS experience, especially with:
    • Redshift, Lambda, S3, Glue, Kinesis, Athena, API Gateway, Step Functions
  • Experience building or maintaining multi-cloud pipelines bridging GCP and AWS.
  • Background with Dataflow/Beam or other stream processing frameworks.
  • Experience working with EHR integrations, claims processing, HIEs, or clinical data networks.
  • Familiarity with ML-enabled data pipelines or feature engineering in healthcare contexts.

Benefits

Why Join Us?

Joining C the Signs is not just about building AI; it’s about shaping the future of healthcare. If you are a technical leader with an unshakable belief in the power of AI to save lives and the ability to make it happen at scale, this is your opportunity to create a tangible, global impact.

Benefits:

  • Competitive salary and benefits package.
  • Flexible working arrangements (remote or hybrid options available).
  • The opportunity to work on life-changing AI technology that directly impacts patient outcomes.
  • Join a team that combines cutting-edge innovation with a mission to save lives and improve health equity.
  • Continuous learning opportunities with access to the latest tools and advancements in AI and healthcare.

Perks & Benefits Extracted with AI

  • Flexible Work Hours: Flexible working arrangements (remote or hybrid options available).
C the Signs

The Company: We're a multi-platform digital tool that uses artificial intelligence mapped with the latest evidence, to identify patients at risk of cancer. Covering the entire spectrum of cancer and cross-referencing multiple diagnostic pathways, C the Signs can identify which cancer or cancers a patient is at risk of and the most appropriate next step – all in less than 30 seconds. Our mission is to support GPs to save people's lives by identifying the risk of cancer at the earliest. We do this by applying AI, machine learning and other advanced technologies to reinvent the ways cancer is detected.Who we are: C the Signs is an award-winning purpose driven organisation founded by doctors. The platform is used by healthcare professionals to accelerate early cancer diagnosis – ensuring all patients are identified at the earliest and most survivable stage of the disease. Using AI/ML, big data and NLP. C the Signs is at the forefront of digital health technology and leading on new and innovative methodologies to achieve our mission. The technology is currently supporting thousands of doctors in the UK National Health Service and is growing fast.

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