---
title: 'Principal Platform Engineer at Neko Health'
canonical: 'https://feeny.ai/job/principal-platform-engineer-neko-health-london-7zb57g6b859h'
type: 'job'
last_seen: '2026-09-06'
---

# Principal Platform Engineer at Neko Health

- **Company:** [Neko Health](https://feeny.ai/companies/neko-health)
- **Location:** London, United Kingdom
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-03-24
- **Last confirmed live:** 2026-09-06
- **Apply:** https://jobs.ashbyhq.com/neko-health/8c2d7874-2d84-45b8-9012-4c7bffa28962/application

**Skills:** Internal Developer Platform, Backend Engineering, Production Systems, Java, C#, AWS Step Functions, Azure Durable Functions, Temporal, Conductor, Dagster, Workflow Engines, Full-stack Development, Product-led SaaS

> This role involves building and rolling out Neko's internal AI developer platform, focusing on architecting agentic workflows and tooling. The candidate will drive technical leadership, ensuring the platform becomes a core part of engineering operations with measurable improvements in developer speed and autonomy.

## Job description

## MISSION

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

## About Neko Health

## Company Overview
- **One-liner**: Neko Health is a healthcare technology company that has engineered a proprietary, data-driven preventive health scan to detect early signs of disease in otherwise healthy individuals.
- **Entity Type**: Private (Funding Stage: Series A)
- **Headquarters**: Stockholm, Sweden
- **Founded**: 2018
- **Founders**: Daniel Ek (Co-founder, also founder/CEO of Spotify) and Hjalmar Nilsonne (Co-founder)

## Core Business
- Primary industry/industries: Healthcare Technology, Preventive Medicine, Clinical Diagnostics
- Target customers: B2C – Health-conscious individuals; B2B Potential – Self-insured employers
- Mission or purpose statement: “To provide healthcare that’s proactive instead of reactive – so that people can live longer, healthier lives.”

## Products & Services
- **[The Neko Health Scan]**: A 60-minute, full-body health check that captures millions of data points across the skin, heart, blood, and circulation using four proprietary devices (Derma, Spectrum, Echo, and Neko Lens). Includes an unrushed consultation with a doctor where results are discussed immediately. The scan is priced at approximately 2750kr (~$260) in Sweden and is designed for asymptomatic, healthy individuals looking for prevention.

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed (as of mid-2026).
- **Key Metric**: Total Funding – **$325.1M** (one prior funding round).
- **Notable Investors/Partners**: Backed by “investors who have built and scaled some of the most ambitious technology companies of the last two decades” (individual names not publicly listed on career page). The company has strong ties to the tech and startup ecosystem.
- **Growth Signals**: Over 1,000 employees (more than half in clinical roles). Aggressive expansion with active clinic locations in London, Manchester, Birmingham, Stockholm, and plans for more. Job postings have increased +344.4% year-over-year (as of mid-2026), indicating rapid scaling.

## Competitive Advantages
- **Proprietary Hardware**: All four scanning devices are designed, engineered, and assembled in-house in Stockholm, creating a hard-to-replicate technological moat.
- **Integrated Clinical Model**: Unlike traditional clinics or digital health apps, Neko combines its proprietary hardware with on-site doctors, clinical researchers, and data science under one roof with a low patient volume per doctor ( ~9 members/day vs. 30+ in standard care). This enables a focus on prevention, not just treatment.
- **Data Moat**: The system captures millions of structured data points per scan, allowing for peer benchmarking and longitudinal tracking over years, creating a powerful, network-effect dataset for preventive health insights.
- **Leadership**: Co-founded by Daniel Ek (Spotify) and Hjalmar Nilsonne.

## Strategic Focus
- **Scaling the Scan Room**: Neko is actively testing a second-generation modular scan room platform designed to capture more signals and scale to new locations.
- **Global Expansion**: Opening new clinics across the UK and Europe, with a clear intent to make the service more accessible.
- **Clinical Research & Governance**: Continued focus on validating their devices with clinical studies and building a clinical leadership team (including ex-NHS and Amazon Health executives) to establish preventive care as a formal clinical discipline.

## Why Work Here
- **Mission-Driven**: The company was founded to solve the fundamental problem of late-stage diagnosis by focusing on prevention. The work is presented as having a direct, positive impact on human longevity.
- **Culture & Engineering**: The company actively showcases a deep engineering culture where “clinical insight can become a hardware iteration overnight.” Clinicians and engineers share the same floor, fostering rapid iteration and innovation.
- **Compensation & Benefits**: Salaries are benchmarked via market research. Benefits include comprehensive Medical, Dental, and Vision Insurance, 401K, Paid Time Off, Life Insurance, Disability Insurance, CME Days, and Commuter Benefits.
- **Work Model**: Roles are **on-site** at specific clinic locations. Training for medical roles is fully paid. The interview process is designed to give candidates a feel for the culture and mission.
- **Growth Trajectory**: With 80+ active job postings and triple-digit growth in hiring, the company is in a high-growth phase, offering significant career development opportunities.

## Sources
1. [nekohealth.com](https://www.nekohealth.com/en)
2. [nekohealth.com](https://www.nekohealth.com/us/en/about)
3. [linkedin.com](https://www.linkedin.com/company/nekohealth)
4. [nekohealthcareers.com](https://www.nekohealthcareers.com/)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/neko-health)

## Other roles at Neko Health

- [Clinic Manager](https://feeny.ai/job/clinic-manager-neko-health-new-york-xqp2fepby0cw) — New York, NY
- [Real Estate Transaction Lead, West](https://feeny.ai/job/real-estate-transaction-lead-west-neko-health-san-francisco-e3awv19f1pgh) — San Francisco, CA
- [Cardiac Sonographer](https://feeny.ai/job/cardiac-sonographer-neko-health-miami-xgb2gyd63szk) — Miami, FL
- [Signature Concierge](https://feeny.ai/job/signature-concierge-neko-health-miami-vcpfnjjbmm8g) — Miami, FL
- [People Enablement Lead](https://feeny.ai/job/people-enablement-lead-neko-health-stockholm-7n84nz1cefpr) — Stockholm, Sweden
- [Workday Integration Specialist](https://feeny.ai/job/workday-integration-specialist-neko-health-london-tgd5ge22kmn1) — London, United Kingdom
- [Category Manager, Medical Equipment Lead](https://feeny.ai/job/category-manager-medical-equipment-lead-neko-health-stockholm-65yx21kg0m8w) — Stockholm, Sweden
- [Clinic Manager](https://feeny.ai/job/clinic-manager-neko-health-washington-jz70kv6mf1fh) — Washington, DC
- [Laboratory Technologist](https://feeny.ai/job/laboratory-technologist-neko-health-washington-r7kytzwjv671) — Washington, DC
- [Laboratory Technical Supervisor](https://feeny.ai/job/laboratory-technical-supervisor-neko-health-washington-82yebvhrr8g0) — Washington, DC