Jobs Companies C the Signs Lead Data Engineer

About this Lead Data Engineer role at C the Signs

C the Signs · United States

We are seeking a Lead Data Engineer to architect, build, and scale our next-generation healthcare data platform. In this role, you will lead the effort to design robust pipelines, modernize data architecture, and ensure high-quality ingestion and transformation of clinical and operational data. You’ll collaborate closely with product, analytics, clinical informatics, machine learning, and engineering teams to deliver trusted, timely, and compliant insights.

This is a hands-on leadership role ideal for someone who enjoys setting technical direction while still contributing code and guiding stakeholders through complex healthcare data challenges.

Responsibilities

Architecture & Strategy

  • Lead design and evolution of our cloud-native data platform built primarily on Google Cloud Platform, including BigQuery, Cloud Storage, Pub/Sub, Cloud Run, Airflow (Cloud Composer), and Healthcare API.
  • Inform strategic decisions around multi-cloud or AWS interoperability when needed.
  • Establish data engineering best practices, coding standards, and architectural patterns.

Pipeline Development

  • Build scalable ETL/ELT pipelines using dbt for transformations and Airflow for orchestration.
  • Develop ingestion pipelines for clinical and administrative data in HL7, FHIR, DICOM, and custom formats.
  • Develop ingestion and transformation pipelines to be used for AI/ML development and model training.
  • Implement streaming and batch dataflows using Pub/Sub, Dataflow, and serverless compute.
  • Support or guide integrations with AWS-based partner systems or AWS-hosted data sources when applicable.

Data Modeling & Warehousing

  • Design and maintain BigQuery datasets, semantic layers, and warehouse structures.
  • Leverage industry standards such as FHIR resources for canonical healthcare models.
  • Provide guidance on data modeling and warehouse best practices across both GCP and AWS ecosystems.

Data Quality, Observability & Governance

  • Implement data quality frameworks, automated testing, and monitoring.
  • Ensure HIPAA compliance and proper handling of PHI/PII across all pipelines and cloud environments.
  • Drive lineage, documentation, metadata governance, and dbt docs adoption.

Leadership & Collaboration

  • Partner with analytics, product, clinical informatics, and security teams to deliver high-quality, trustworthy data products.
  • Provide oversight and technical direction for multi-cloud data integrations with AWS-based systems or partners.
  • Assist in the recruitment and development of junior data engineers

Requirements

  • 7+ years of data engineering experience; 2–3+ years in a lead or senior technical role.
  • Deep, hands-on expertise in GCP, particularly:
    • BigQuery
    • GCP Healthcare API (FHIR and DICOM stores)
    • Cloud Storage, Pub/Sub, Cloud Run/Functions
  • Strong proficiency with:
    • dbt (Core or Cloud)
    • Airflow (Cloud Composer or self-managed)
    • Python and advanced SQL (BigQuery preferred)
  • Hands-on experience with healthcare standards:
    • FHIR (R4/US Core), HL7 v2/v3, DICOM, C-CDA, X12
  • Strong understanding of PHI handling, HIPAA compliance, and healthcare interoperability.

Preferred

  • AWS experience, especially with:
    • Redshift, Lambda, S3, Glue, Kinesis, Athena, API Gateway, Step Functions
  • Experience building or maintaining multi-cloud pipelines bridging GCP and AWS.
  • Background with Dataflow/Beam or other stream processing frameworks.
  • Experience working with EHR integrations, claims processing, HIEs, or clinical data networks.
  • Familiarity with ML-enabled data pipelines or feature engineering in healthcare contexts.

Benefits

Why Join Us?

Joining C the Signs is not just about building AI; it’s about shaping the future of healthcare. If you are a technical leader with an unshakable belief in the power of AI to save lives and the ability to make it happen at scale, this is your opportunity to create a tangible, global impact.

Benefits:

  • Competitive salary and benefits package.
  • Flexible working arrangements (remote or hybrid options available).
  • The opportunity to work on life-changing AI technology that directly impacts patient outcomes.
  • Join a team that combines cutting-edge innovation with a mission to save lives and improve health equity.
  • Continuous learning opportunities with access to the latest tools and advancements in AI and healthcare.
Ready to apply to C the Signs?
Apply to C the Signs

About C the Signs

C the Signs is transforming how the world finds cancer early. Founded by NHS doctors, we combine clinical science, advanced AI and real world evidence to identify cancer risk for patients, providers and entire populations.

At the heart of our work is a simple belief: everyone deserves the chance to survive cancer. Our platform analyses information from both patient-reported data and electronic health records, bringing together thousands of data points to understand a person’s risk and guide them to the right diagnostic pathway, at the right time. It is built to support clinicians in decision making, empower patients with clarity and help health systems act earlier and more effectively.

Today, we have completed more than 500,000 cancer risk assessments and helped identify over 65,000 patients with cancer across 100 cancer types. These are not just numbers. They are people who reached diagnosis sooner and were given more time, more options and more hope.

Used across the UK and soon launching across the United States, C the Signs delivers 99 percent sensitivity and strong clinical accuracy. We help clinicians make informed decisions, improve access for underserved communities and ensure that early detection becomes a lived reality rather than a distant ideal.

C the Signs is building a future where early cancer detection is accessible, equitable and centred on the people it serves.

See all jobs at C the Signs →

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