Infrastructure Engineer

Location: London

As we expand our platforms to support new products, hospital sites and expand into international geographies, we have an opening in our Operations team.  We are seeking a skilled and experienced Infrastructure Engineer to work with both UK & USA teams on the development and deployment of new software solutions delivered on a secure, fast and resilient global infrastructure.

The role has a number of responsibilities both technical and operational so if this is of interest, please request the full job description.


  • Work with all areas of the business in product and strategic project planning including:
    • Risk analysis
    • Cost & benefits analysis and forecasting
    • Operational and development needs
    • Impact analysis
    • Information security risk assessments
  • Design and implement processes and procedures to support business continuity and support a 100% business SLA.
  • Design and implementation of disaster recovery procedures, including regular testing.
  • Work with the compliance team to implement necessary technical controls to support medical devices and maintain QMS records.
  • Work with the engineering team to accelerate delivery of software to the business through automation and continuous integration.
  • Work with the client deployment team to deliver new products and business solutions to clients, performing the following:
    • Establish connectivity with the client through site-to-site VPN or deployment of managed encryption router
    • Answer and satisfy any information governance documentation requirements or concerns
    • Establish image pathway through connectivity with the client PACS
    • Establish communication pathway through HL7 broker
    • Meet with clients on-site as required as part of the deployment process
    • Work with DICOM / HL7 brokers to create an end-to-end solution
    • Work with deployment team to perform full end-to-end solution testing
    • Provide supporting documentation and QMS records
    • Provide handover and support to the operations team post deployment
    • Provide ongoing reporting and support for the client integration
  • Manage and maintain the global infrastructure, including:
    • Public cloud environments
    • Private cloud and physical datacentres
    • Physical and virtual server estates
    • Storage infrastructure
    • WAN and interconnecting networks
    • Client connectivity and integrated systems
  • Take ownership of databases, their installation, scaling, resilience, maintenance, security and performance.
  • Ensure infrastructure availability and reliability.
  • Provide reporting on information held within the business systems, automating where possible.
  • Provide 24×7 technical support (on a rota’d basis) to the business and clients.
  • Provide 24×7 2nd & 3rd line technical support as part of an escalation path.
  • Work with the operations team on issue management, root cause analysis, repeat problem prevention, automation and reporting.
  • Keep task and project documentation up to date, provide regular management reports.



  • Linux operating systems (Advanced Level)
  • Microsoft Windows Server operating systems (Advanced Level)
  • Linux shell scripting (Advanced Level)
  • Docker, Kubernetes and container cluster management (Advanced Level)
  • VMware vSphere virtual environments (Advanced Level)
  • Cross-vendor networking fundamentals including configuration and troubleshooting of the following:
    • Routing
    • Switching
    • Firewall
    • Load balancing
    • DNS
    • IPsec VPN
  • Cisco IOS & ASA OS devices
  • Intermediate level experience of Nagios monitoring systems
  • Expert understanding of networking protocols
  • Interpreting system and application logs
  • SQL & NoSQL database management, including the installation of, scaling, maintenance, backup and performance monitoring – in particular MongoDB & PostgreSQL
  • Data storage systems including Fibre/iSCSI SAN, object storage and data integrity mechanisms
  • Business continuity and disaster recovery principles
  • Cyber Security including application and operating system hardening, network security controls, vulnerability management
  • Implement security tools, policies and procedures
  • Physical hardware configuration and installation
  • Raising and management of incident and problem tickets
  • Experience of backup systems such as Veeam or BackupExec


  • Knowledge of DICOM & HL7 standards
  • Experience of radiology PACS & RIS systems
  • Experience of a radiology workflow
  • Experience of implementing or working in an ISO 27001 environment
  • Experience of ISO 13485, ISO 14971, IEC 62304
  • Experience working with medical devices