Product Manager

Time commitment: Full Time        

Location: Hybrid working, three days in the London office and two days remote. We consider alternative requests if this is not possible for you.

Office:  140 Borough High Street, London, SE1 1LB

Reporting to: Head of Product (Aoife Barron, VP Product & Operations)

About Paloma

In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS. 

These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.

Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.

As of May 2026, we have successfully reduced waits to 3 months by;

• Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
• Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families
• Investing in expanding the clinician workforce and upskilling them in new ways of working.

We are proud that Paloma is:

• Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
• Care Quality Commission (CQC) registered and quality-focused
• Clinically-led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
• A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches.
• Backed by leading healthcare investors Triple Point and Heal Capital

What’s next?

• Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
• We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them.

The Opportunity

Why is this role different? Rather than building software for external companies, you are building our core software platform for our internal clinical and operations teams. This means your actions directly help children and families, as well as our clinicians and our operations team, so you can tangibly feel the benefit of your work every day!

As Product Manager, you’ll be a key member of the Product & Engineering team, driving the smooth delivery and ongoing optimisation of our platform and operational infrastructure. This role focuses on the "engine" of Paloma-the internal systems, booking platforms, third-party integrations, and automation orchestration that allow our clinical service to scale.

On a day-to-day basis, you will work closely with our engineering team and our wider product, clinical, and operations teams to execute and deliver our product initiatives. As Paloma continues to grow, we are formalising our Product & Engineering squads. You will be responsible for the health, rhythm, and output of your squad, leading agile ceremonies and ensuring that technical execution aligns perfectly with our operational needs. 

You will be instrumental in maintaining high standards of product delivery, fostering clear communication, and driving continuous improvement in our development processes. You will have many growth opportunities, up to a senior manager role and beyond, as we scale.

Responsibilities

Analysis and planning

• Work closely with clinical and operations teams to translate complex service requirements into scalable technical solutions.
• Write detailed user stories, acceptance criteria, and Product Requirement Documents (PRDs) for new features and system improvements.
• Conduct detailed discoveries with high-quality outputs.
• Analyse product performance metrics and gather user feedback for continuous improvement

Leadership

• Run the day-to-day operations of a Product & Engineering squad, leading all agile ceremonies (stand-ups, sprint planning, backlog grooming, and retrospectives).

Delivery:

• Utilise data to inform decision-making, prioritisation, and the measurement of feature impact.
• Support quality assurance and user acceptance testing to ensure high-quality delivery.
• Manage release notes and internal training to ensure the wider team is empowered to use new platform features.
• Constantly look for patterns, inefficiencies, or bugs, and fix them before they become problems.

What qualities will you bring to the role?

• A passion for healthcare/healthtech and supporting the needs of our families.
• Strong understanding of user-centred design principles.
• Naturally data-driven, investigating issues methodically and not settling for surface-level fixes. 
• You enjoy the "how it works" as much as the "what it does"-you find satisfaction in building efficient, invisible systems.
• Exceptional attention to detail and a love for well-defined processes. 
• Highly efficient and organised, with a proactive approach to managing tasks and information.
• Strong collaborative skills, with the ability to work effectively across diverse teams.
• Excellent communication skills, capable of articulating technical and non-technical information clearly and concisely to various audiences.
• A pragmatic and realistic approach to planning, execution, and delivering results.
• Enthusiastic and motivated, ready to jump into any task.
• You want to be part of an always-learning environment that embraces software and AI tools, and you will help us go further and faster with your positive and collaborative attitude.

What qualifications and experience will you bring?

Required prior experience:

• 2+ years in a Product Manager role in a high-growth, fast-paced, product-led organisation.
• Directly leading squads and running sprint ceremonies alongside engineering teams.
• Owning the product lifecycle from initial concept to launch, ongoing optimisation, and measuring outcomes.
• Data analysis, A/B testing, and iterative product development.

Desirable prior experience:

• Working within the healthcare/healthtech sector.
• Building or managing internal operational products (e.g., booking engines, CRM workflows, or resource management platforms).
• AI/ML product initiatives.
• Formal qualifications or training in Agile methodologies (e.g., Scrum Master, Product Owner certifications).
• Technical background (e.g., computer science degree, scripting, or systems ops experience)

Why join Paloma?

You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England. For all employees, we offer:

• A strong and positive culture that prioritises team building, transparency, and career development. This includes protected time and budget for team connection and learning.
• Comprehensive compensation, including:

• • Salary of £67,000 per year, with some flexibility based on experience. 
  • Annual salary reviews, ensuring they are competitive
  • 5% employer pension contribution
  • Equity compensation through Share Options in Paloma Health 
  • Private Medical Insurance
  • Employee Assistance Programme
  • Home Office Equipment Allowance
• A unique annual leave benefits package which includes:
  • 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off.
  • Option to buy an additional 5 days per year (giving a maximum of 42 days)
  • Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related
• Additional benefits include:
  • A premium performance company laptop
  • NHS discounts, including the Blue Light Card (as we are an NHS provider).

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

Safer Recruitment & Pre-Employment Checks

Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.

Application process

Please apply via our website. We understand that applying for a new job requires significant effort, and we appreciate your time. We look forward to reviewing your application.

Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!