Pros
Visionable has been an interesting company to work for as a US employee of a UK company. The management team follows more UK-centered practices and culture where you are valued as an employee and given flexibility to do your work around issues that may pop up in your life. Additionally, the concept of making healthcare more equitable and affordable is a noble goal to work for and is quite a nice change from other projects I've worked on before. There's a chance to make a difference with the platform we're working on, which makes for good motivation. The US team is fully remote, the UK team can be as well, but does have access to two office spaces.
Cons
Making a new platform from the ground up takes time and patience. You have to be able to handle priorities changing or work focus shifting. Fairly normal for modern development cycles, but something to be aware of as it can be frustrating at times. Fully remote is a pro, but it can also be a bit of a con too. It's easy to get siloed in to your own little world and you do have to make an effort to be a part of the larger team.