GTM Engineer

LET'S MAKE THE NHS THE MOST ADVANCED HEALTHCARE SYSTEM IN THE WORLD 💙

The world’s best healthcare, for free. It's not a new idea, it's called the NHS. But the largest healthcare provider is fundamentally broken. So we’re on a mission to fix it with technology that actually works.

We love the NHS because it’s accessible to all, free at the point of delivery and employs millions up and down the UK. But we've all read the headlines. It's under intense pressure with rising costs, GP strikes, budget uncertainty and an ageing population. Which means longer wait times, fewer appointments and lower quality care for the people who need of it most. The NHS is beautiful, but broken.

The largest cost (£66bn+) is staff, who spend a ridiculous amount of time on mundane admin. 35% of NHS staff are employed to complete administrative work all day, every day. And that's where we're making a difference.

We're focused on relentlessly automating repetitive processes within the NHS. And we’ve had great early success. Our first product, Automated Registrations, is already used by 24% of GP practices in England. With this wedge in the market, we're now building more powerful tech that unlocks access to healthcare for the entire nation. Check out bookable.health https://bookable.health/?utm_source=ashby for a sneak peek.

⛩️ OUR PRINCIPLES

Exciting challenges lie ahead—guided by our principles, we’ll meet these challenges with a thoughtful and caring approach to support our community of NHS GP practices. These principles drive everything we do at Healthtech-1:

Read more about our principles in the Healthtech-1 Handbook https://link.ht1.uk/handbook.

THE ROLE

We’re hiring a RevOps Engineer to become the operational engine behind our growth team.

This is not a passive support role. You’ll be responsible for building and owning the systems, data infrastructure, and workflows that power revenue generation. We lack most of them, meaning you have the opportunity for high impact and ownership from day 1. From CRM architecture to automation, reporting, and lead generation - you will directly influence how fast and effectively we grow.

You will:

• Own and rebuild our CRM and data infrastructure from the ground up

• Design scalable systems that enable the growth team to sell smarter and faster

• Eliminate manual processes through automation and engineering

• Provide leadership with real-time, reliable visibility into growth

This is a high-impact, high-ownership role where your work will directly shape the trajectory of the company.

MISSION & IMPACT

Our company-wide goal is ambitious: 50,000 Weekly Appointments Booked (WAB) by September 2026. This ambitious goal will mean 50,000 patients use our service every week to book an NHS appointment. Today it's 600.

Your role is to make this possible by:

• Increasing the speed and efficiency of the growth team

• Improving data quality and decision-making

• Enabling better targeting, tracking, and conversion

WHAT YOU’LL OWN

SYSTEMS & DATA INFRASTRUCTURE

• Full ownership of CRM (Attio or future migration): schema, workflows, automations, hygiene

• Rebuild and optimise current CRM setup (currently fragmented and inefficient)

• Integrate tools across the growth stack (Calendly, Aircall, etc.)

• Build and maintain data scraping and enrichment pipelines

• Ensure reliable product-to-CRM data flow

REPORTING & VISIBILITY

• Build dashboards for growth metrics, pipeline, and product adoption

• Own reporting on practice numbers and growth trends

• Deliver real-time pipeline visibility for leadership

• Eliminate manual reporting and increase confidence in data

GROWTH ENABLEMENT

• Generate and maintain high-quality lead lists

• Improve onboarding through playbooks and tooling

• Support the growth team with targets, tooling, and operational insight

OPERATIONAL ENGINEERING

• Build automations and scripts to eliminate repetitive work

• Identify inefficiencies and redesign processes end-to-end

• Ship improvements quickly, not just maintain systems

• Actively drive revenue through better operations

We will look to quickly give you the autonomy to pick which projects will have the highest impact on our growth.

TECHNICAL EXPECTATIONS

This is a hybrid role combining operations, data, and engineering so you must have experience in the following:

• Experience building tools or apps (React preferred)

• Python for data analysis, scraping, and automation

• API integrations and system design

• Ability to build custom solutions where off-the-shelf tools fall short

• Experience with CRMs (Attio, HubSpot, Salesforce)

• Familiarity with tools like Metabase, Zapier, Make

• Experience integrating data systems and dashboards

This role requires a specific mindset and you’ll thrive if you:

• Take full ownership of systems and outcomes

• Proactively identify and solve problems

• Treat operations as a growth lever, not a support function

• Move fast and ship improvements continuously

• Are comfortable working with messy data and fixing it

You may struggle if you:

• Prefer clear instructions over ambiguity

• Avoid technical or data-heavy work

• Focus on maintenance rather than improvement

We’re looking for someone who:

• Has 3+ years in operations, analytics, consulting, or similar

• Has built systems, tools, or infrastructure before

• Is highly technical and comfortable coding

• Has strong founder energy or ambitions

• Is eager to deeply understand both product and sales

• Ideally has experience in a start-up growth team

💙 A BIT ABOUT US

💙 We’re all NHS staff. We’re inside-outsiders. Trusted with one of the biggest datasets in the world.

🏥 Our office is within a GP practice. This is our unfair advantage. Got a question? Pop down the corridor. Want to learn how your work affects real patients? Pop downstairs to reception.

💪🏼 3-5 days in the office, depending on your team and the company schedule. We highly prioritise in-person communication and prefer candidates who want to work 4+ days a week in the office. Our anchor days are Mon, Tues and Fri. Homemade breakfast and lunch are on the house every day when you're in the office, ensuring you're fuelled for success!

🌀 We work in growth cycles. Every 8 weeks we do the same set of activities. 1 week outside of Business-as-Usual to research, strategise, plan our work. 7 weeks to knuckle down and deliver it.

🤝 We’re highly collaborative. One of the benefits of a high trust team is we often work autonomously, but as a team we’re very collaborative by nature. Two heads are often better than one, and we frequently lean on each other to solve problems together.

🤜🏽 We’re backed by industry leaders. We’re on the DigitalHealth.London http://DigitalHealth.London Accelerator, backed by the NHS Clinical Entrepreneur Program, winners of the London Business School Healthtech Challenge, Innovate UK, and Y Combinator (S23).

🚀 AN OPPORTUNITY FOR REAL UPSIDE

💉 Paid volunteer days. We offer an additional 2 paid days off per year where you can give back to your mission of choice.

🎢 Every 8 weeks we take a day off to socialise as a team. In the past we’ve hiked box hill, raved at All Points East and spent one rainy day at Thorpe park. This works out as 6 working days a year.

📚 Learning budget of £250 annually and time off to spend it - we care about this; this is flexible and based on need but everyone will receive a yearly allocation towards their continual growth.

🍽️ Homemade breakfast and lunch are on the house when you're in the office, ensuring you're fuelled for success!

🥗 Health and fitness budget of £60 per month - see more here https://www.notion.so/Health-and-fitness-bc845193dccd44cda9cdcd1f8ba6305e?pvs=21

🧘‍♂️ An additional 7 days of paid leave is available if you