{"id":3459826,"url":"https://alion.io/job/incision-lead-software-engineer","title":"Lead Software Engineer","company":{"id":691403,"name":"Incision","domain":"incision.care","url":"https://alion.io/company/incision","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Teamtailor","truth_index":{"grade":"B","score":75,"open_postings":3,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-11-03T05:54:40Z"}},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Amsterdam, Netherlands"],"countries":["NL"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":61000,"max_usd":122000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":21},"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Amazon Aurora","optional":false},{"name":"Amazon DocumentDB","optional":false},{"name":"Amazon EventBridge","optional":false},{"name":"Amazon S3","optional":false},{"name":"API Gateway","optional":false},{"name":"AWS","optional":false},{"name":"AWS CDK","optional":false},{"name":"AWS Lambda","optional":false},{"name":"AWS Step Functions","optional":false},{"name":"CI/CD","optional":false},{"name":"DynamoDB","optional":false},{"name":"Fastify","optional":false},{"name":"Git","optional":false},{"name":"MySQL","optional":false},{"name":"Nest.JS","optional":false},{"name":"Node JS","optional":false},{"name":"Rest API","optional":false},{"name":"Terraform","optional":false},{"name":"TypeScript","optional":false},{"name":"WebSockets","optional":false},{"name":"AI Agents","optional":true},{"name":"Amazon CloudWatch","optional":true},{"name":"Angular","optional":true},{"name":"Datadog","optional":true},{"name":"ElasticSearch","optional":true},{"name":"GDPR","optional":true},{"name":"JavaScript","optional":true},{"name":"Jest","optional":true},{"name":"OpenSearch","optional":true},{"name":"Playwright","optional":true},{"name":"Redis","optional":true}],"status":"live","first_seen_at":"2026-10-29T10:45:11Z","employer_posted_date":"2026-10-29","last_verified_at":"2026-11-03T11:04:33Z","board_verified":true,"closed_at":null,"days_open":5,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":5},"description":"About Incision\nOperating rooms are under pressure. Staffing shortages, increasing procedural complexity, and growing demand for care make it harder than ever for hospitals to keep perioperative teams prepared and supported.\nAt Incision, we help hospitals improve how perioperative teams access knowledge, learn, and perform. Incision Assist helps surgical teams work with greater confidence and consistency by providing instant access to the information they need before and during procedures. Through MySPD and Academy, we support sterile processing and perioperative professionals with practical, accredited education that strengthens knowledge and performance across the surgical pathway.\nToday, hospitals in more than 20 countries use Incision to onboard staff faster, preserve critical knowledge, strengthen team collaboration, and improve operational performance.\nWorking at Incision\nImpact & Quality: We strive for innovation and excellence in everything we do.\n\nLearning & Growing: We share knowledge, learn from one another, and continuously develop ourselves.\n\nCollaboration: We work together, support each other, and celebrate our successes as one team.\n\nWhy we're hiring\nWe are entering an exciting new phase of growth. As adoption of Incision Assist accelerates, we are investing heavily in product innovation, AI-powered knowledge delivery, and expanding our commercial presence in one of the world's most competitive healthcare technology markets. \nWe are looking for a hands-on Lead Software Engineer to take a leading role in the technical execution of our engineering teams. You will work closely with our Lead Architect / Platform Lead and act as a technical anchor for our core engineering team. Your primary responsibility will be ensuring that the team consistently delivers high-quality, maintainable software, while helping establish strong engineering standards across the wider technology organization.\nThis is a hands-on engineering role. You will design solutions, review architecture, write and review code, support engineers in difficult technical decisions, and help teams turn product requirements into reliable production software.\nYour role\nTake technical ownership of software delivery within our core engineering team\n\nEnsure features are designed and implemented to a consistently high engineering standard\n\nCoordinate technical implementation across Backend, Frontend, Mobile and QA where required\n\nTranslate product and business requirements into clear technical approaches and implementation plans\n\nDesign and implement backend services using TypeScript, Node.js and NestJS\n\nArchitect solutions on AWS, primarily using serverless and managed services\n\nMake technical decisions around service boundaries, APIs, data models, integrations and asynchronous workflows\n\nReview designs, pull requests and implementation approaches for complex or high-risk changes\n\nIdentify technical risks early and help engineers resolve architectural or implementation issues before they affect delivery\n\nEstablish and continuously improve coding standards, engineering practices and development guidelines\n\nSupport engineers through mentoring, pair programming, code reviews and technical design sessions\n\nHelp maintain consistent engineering standards across multiple development teams, including external engineering partners\n\nWork closely with our architect on system architecture, scalability, reliability and technical evolution\n\nEnsure new functionality includes appropriate testing, observability, monitoring, security, operational readiness and documentation\n\nImprove engineering productivity through better tooling, automation and development practices\n\nHelp adopt and maintain effective AI-assisted engineering practices where they improve software delivery\n\nParticipate in architecture discussions, ADRs and technical roadmap development\n\nContribute directly to implementation when projects require senior hands-on engineering support\n\nWhat you'll bring\n8+ years of software engineering experience, with experience operating at Lead or strong Senior / Tech Lead level\n\nStrong hands-on experience with TypeScript and Node.js\n\nProduction experience with NestJS, Express, Fastify or comparable Node.js frameworks\n\nStrong understanding of software architecture, distributed systems and modern backend design\n\nSignificant hands-on experience with AWS\n\nExperience designing production systems using services such as:\nAWS Lambda\n\nAPI Gateway\n\nS3\n\nSQS\n\nEventBridge\n\nStep Functions\n\nCognito\n\nDynamoDB\n\nStrong experience with Infrastructure as Code, preferably AWS CDK and/or Terraform\n\nExperience designing and operating microservices and event-driven architectures\n\nStrong database knowledge across both document and relational models, ideally including:\nMongoDB / DocumentDB\n\nDynamoDB\n\nMySQL / Aurora\n\nGood understanding of API and real-time communication design using REST, OpenAPI and WebSockets\n\nExperience with asynchronous processing, retries, idempotency, distributed workflows and failure handling\n\nStrong understanding of automated testing and modern testing strategies\n\nExperience with CI/CD and multi-environment deployment pipelines\n\nStrong understanding of observability and monitoring, including logs, metrics, tracing, alerting and production troubleshooting\n\nAbility to design systems with operational visibility in mind and diagnose complex production issues across application and infrastructure layers\n\nGood understanding of application security, authentication, authorization and secure software development practices\n\nExperience improving performance, scalability and reliability of production systems\n\nStrong Git and pull-request based development practices\n\nProven experience mentoring engineers and improving the technical quality of a team\n\nComfortable challenging implementation decisions and constructively raising the engineering bar\n\nStrong communication skills and the ability to work directly with Product, QA, Architecture and business stakeholders\n\nExperience within healthcare technology or healthcare services is strongly preferred.\n\nWhat success look like\nEngineers can move quickly without sacrificing software quality\n\nTechnical decisions are made early and clearly\n\nComplex implementations receive the right level of technical oversight\n\nPull requests and architecture discussions consistently maintain a high engineering standard\n\nTeams take ownership of testing, observability, monitoring and production readiness\n\nEngineering practices become more consistent across internal and external teams\n\nTechnical problems are identified before they turn into delivery or production problems\n\nOur architecture/platform lead can focus more deeply on platform architecture, infrastructure, reliability and long-term technical strategy\n\nNice to have\nAWS certification, particularly AWS Solutions Architect Associate or Professional\n\nExperience working as a Lead Engineer in a multi-team environment\n\nExperience working with distributed or external development teams\n\nExperience with observability platforms such as Datadog, CloudWatch or Elastic Stack\n\nFrontend experience, particularly Angular\n\nMobile development exposure\n\nExperience with Redis / Valkey and OpenSearch / Elasticsearch\n\nExperience with Playwright and Jest\n\nExperience with high-scale or high-availability systems\n\nExperience operating production systems and participating in incident resolution\n\nFamiliarity with AI-assisted or agentic software engineering tools and workflows\n\nExperience with healthcare, fintech or another regulated environment\n\nFamiliarity with privacy, security and compliance requirements such as GDPR\n\nExperience creating architecture diagrams, ADRs and technical design documentation\n\nWhat we offer\nThe opportunity to make a meaningful impact on the future of healthcare.\n\nCompetitive compensation, including an attractive bonus scheme.\n\nProfessional development opportunities, with room for continuous learning, training, and career growth.\n\nA role within a fast-growing international healthtech scale-up.\n\nCollaboration with an ambitious international team working at the intersection of healthcare, technology, and education.\n\nA pension plan, commuting allowance, and access to OpenUp.\n\nRegular team activities, knowledge-sharing sessions, and social events.\n\nA modern workplace, including a laptop and home office equipment.\n\nA diverse and inclusive workplace where everyone is valued and empowered to thrive.","description_format":"text","description_chars":8458,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Continuous learning","Home office","Professional 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