Senior Appian Development Consultant

About Avalere Health United by one profound purpose: to reach EVERY PATIENT POSSIBLE. At Avalere Health, we ensure every patient is identified, treated, supported, and cared for. Equally. Our Advisory, Medical, and Marketing teams come together – powerfully and intentionally – to forge unconventional connections, building a future where healthcare is not a barrier and no patient is left behind.  Achieving our mission starts with providing enriching, purpose-driven careers for our team that empower them to make a tangible impact on patient lives. We are committed to creating a culture where our employees are empowered to bring their whole selves to work and tap into the power of diverse backgrounds and skillsets to play a part in making a difference for every patient, everywhere.  Our flexible approach to working allows our global teams to decide where they want to work, whether in-office or at home based on team and client need. Major city hubs in London, Manchester, Washington, D.C., and New York, and smaller offices globally, serve as collaboration hubs allowing our teams to come together when it matters. Homeworkers are equally supported, with dedicated social opportunities and resources.   Our inclusive culture is at the heart of everything we do. We proudly support our employees in bringing their whole selves to work with our six Employee Network Groups – Diverse Ability, Family, Gender, LGBTQ+, Mental Health, and Race/Ethnicity. These groups provide opportunities to promote diversity, equity, and inclusion and to connect, learn, and socialise through regular meetings and programs of activity. We are an accredited Fertility Friendly employer with our Fertility Policy, enhanced parental leave, and culture of flexibility ensuring every employee feels supported across their family planning journey and can work in a way that suits their family’s needs.  We are deeply invested in supporting professional growth for our employees through day-to-day career experiences, access to thousands of on-demand training sessions, regular career conversations, and the opportunity for global, cross-capability career moves.   We take pride in being part of the Disability Confident Scheme. This helps make sure you can be interviewed fairly if you have a disability, long term health condition, or are neurodiverse. If you'd like to apply and need adjustments made, you can let us know in your application.    About us  This is a fantastic opportunity to join a leading global strategic healthcare partner providing consulting and advisory services to the biopharmaceutical, medical technology, and wellness industries. Our mission is to ensure that everyone has access to the care and treatment they need, regardless of location, financial status, or other factors.  We build and support multiple enterprise products used by internal and client teams to deliver real-world outcomes in high-stakes settings. As part of our 2026 growth plans, we’re hiring a Senior Product Designer in the UK (flexible remote/hybrid). We are looking for an ambitious and driven individual who wants to make a direct impact in AI in enterprise healthcare.    The opportunity  We’re exploring and validating generative AI use cases across our products to reduce friction in end-to-end workflows and improve how work gets done. This means designing experiences that move beyond standalone tools and towards human-led, AI-assisted workflows, where AI supports users through repetitive or complex steps while keeping people accountable, informed, and in control.  As a Senior Product Designer, you’ll help shape practical, usable AI-enabled experiences that improve speed, quality, and consistency across enterprise workflows. You’ll work closely with Product, Engineering, and subject-matter experts to understand user needs, test ideas, design robust interactions, and deliver experiences that are trusted, transparent, and measurable.  This role suits someone who is comfortable working through ambiguity, can turn complex workflow problems into clear product experiences, and brings strong product design craft from discovery through to delivery.  

Job Description Role: Senior Engineer (.NET, AWS & AI Engineering) Department: Engineering  CreateFuture is an AI-native consulting partner where people do work that matters and are supported to do it well. We work side by side with our clients, challenging what’s not working and helping them to build the future. We work alongside organisations such as PayPal, adidas, NatWest, FanDuel, and Money Saving Expert, building digital products and services that make a difference while always putting people first. Our commitment to craft, quality, and culture has helped us scale to over 600 people in just a few years.   ABOUT THE ROLE AND TEAM: We are seeking an experienced Senior Engineer with a strong background in .NET, AWS, and modern AI-assisted engineering practices to join a team delivering and modernising a broad range of business-critical applications and services. This role combines hands-on software engineering with technical leadership responsibilities, helping drive engineering quality, platform improvement, and modern development practices across a varied .NET landscape. The successful candidate will work across a diverse technology stack that includes legacy .NET Framework applications, WCF and WPF services, alongside modern applications being developed on the latest versions of .NET through to .NET 10. You will play a key role in building scalable cloud-native solutions, improving existing systems, and helping shape engineering standards and delivery practices. This role requires someone comfortable operating within challenging technical environments, able to work closely with engineering teams and stakeholders to simplify, improve, and evolve existing services. Strong communication and stakeholder management skills are essential, as many existing platforms and services have significant operational and organisational investment behind them. KEY RESPONSIBILITIES * Design, develop, and maintain applications and services using .NET technologies and AWS cloud platforms. * Work hands-on across a broad .NET technology landscape including .NET Framework, WCF, WPF, and modern .NET applications. * Contribute to the adoption of AI-assisted engineering practices and harness engineering approaches across the development lifecycle. * Identify opportunities to simplify, rationalise, and improve existing systems and services. * Design and implement Infrastructure as Code solutions using Terraform. * Support cloud-native engineering practices and platform improvements across AWS environments. * Contribute to frontend application development using Next.js or similar modern JavaScript frameworks. * Collaborate with engineering teams and stakeholders to deliver pragmatic technical solutions. * Promote best practices in software engineering, maintainability, scalability, and operational excellence. * Support teams through technical challenges and modernisation initiatives. Work effectively with stakeholders across the business, navigating complex and sensitive technical discussions where required. REQUIRED EXPERIENCE * Strong experience as a Senior Software Engineer working within .NET environments. * Good experience across both modern .NET and legacy .NET Framework applications. * Strong experience with AWS cloud technologies. * Experience implementing Infrastructure as Code using Terraform. * Good understanding of AI-assisted development tooling and harness engineering concepts, with active engagement in the space. * Experience working within complex or evolving technical environments. * Frontend development experience using Next.js or similar JavaScript frameworks. * Strong communication and stakeholder management skills. * Comfortable working hands-on within challenging technical environments. Ability to work collaboratively across engineering and business teams. NICE TO HAVE * Experience modernising legacy enterprise applications and services. * Exposure to WCF, WPF, and broader legacy Microsoft technology stacks. * Experience supporting platform consolidation or transformation initiatives. * Familiarity with CI/CD pipelines, DevOps practices, and engineering automation tooling. WHAT WE’LL OFFER YOU: We trust people to do their best work. That means flexibility over rigid rules, impact over activity, and real investment in your growth both professionally and personally. You’ll be part of a supportive, and friendly culture, surrounded by smart, curious people who care deeply about what they do. We offer flexible working, including hybrid and remote options. Our office hubs are located in Edinburgh, Leeds, Manchester, London and Bulgaria, with occasional travel to client sites or CreateFuture offices when needed. We trust you to manage your time balancing collaboration with client time and focused work. What matters is the impact you have, not how busy you look. OUR HIRING PROCESS We try to keep our hiring process clear, fair and respectful of your time. We aim to get back to everyone who applies and we will be upfront about where you are in the process. It usually looks like this: * Call with our Talent Acquisition Team  * Role specific capability interview  Depending on the role, we might also ask you to do a short presentation, a practical or technical task or have a values focused conversation. We will explain what is involved before anything happens. INCLUSION AT CREATEFUTURE  We believe diverse teams build better workplaces and better products. We want CreateFuture to be a place where people feel able to be themselves and do their best work. If you need any adjustments or support during the application process, just. We will do what we can to help. We look forward to your application!