Quick Summary
Company Description
We transform healthcare experiences through intelligent digital solutions. Tuotempo is the trusted patient engagement platform powering some of Europe and Latin America's leading healthcare institutions. Our innovative CRM system liberates medical professionals from administrative burdens, allowing them to focus on exceptional patient care. Our cloud-based platform seamlessly orchestrates the entire patient journey—from initial appointment booking through omnichannel appointment management and comprehensive follow-up care. This results in streamlined operations for providers and a frictionless experience for patients. Discover how we're reshaping healthcare delivery at tuotempo.com.
Embrace flexibility with our remote-first culture: Work entirely remotely from Italy or Spain, or collaborate in-person at our vibrant hubs in Bologna or Barcelona—we believe in empowering you to work where you thrive!
Job Description
We are seeking a talented Senior Backend Engineer to help us architect and build the next iteration of our AI-powered products. You will drive innovation in AI integration and build modern, scalable, real-time architecture, unlocking new capabilities and performances, starting with our conversational AI products. You’ll collaborate closely with AI engineers, product managers, and the broader engineering team. This hands-on role will significantly impact our strategic projects.
Responsibilities
- Architect, develop, and maintain scalable, robust backend services, starting from our voice and chat AI applications, built on our PHP monolite.
- Coordinate and guide a small team of Engineers.
- Identify and implement balanced, cost-effective solutions for complex distributed systems, with a strong focus on scalability and integration within existing environments.
- Experiment with new technologies for real-time and seamless integrations, implementing POCs to explore the latest trends in the AI environment, partnering with AI/LLM engineers.
- Integrate 3rd party API integrations such as Twilio (voice), WhatsApp, ElevenLabs, OpenAI, and others.
- Implement real-time communication features (websockets, streaming), conversation architectures, and advanced voice capabilities.
- Collaborate on CI/CD pipelines, ensuring robust monitoring, logging, and operational support.
- Write clear documentation and support knowledge transfer within the team.
What to Expect in Your Journey With Us
Your First Week
- Set up your development environment.
- Participate in onboarding sessions.
- Start exploring our product and familiarize yourself with the team.
Your First Month
- Gain familiarity with our workflows and processes.
- Develop, test, and deploy your first feature to production.
- Monitor the feature’s performance and impact.
After Three Months
- Achieve deep understanding of our system.
- Deliver five to 10 new features to production.
- Identify opportunities for product improvements and have some of your proposals scheduled for upcoming development cycles.
After Six Months
- Collaborate closely with our AI/LLM engineering team.
- Research and assess integration of new frameworks and ideas into our architecture.
- Build and present proof of concepts (POCs) to demonstrate the potential impact of adopting new technology.
Qualifications
Must-have
- 3+ years of experience in OOP Backend Engineering.
- Proven skills in building real-time APIs (websockets, streaming, etc.) and familiarity with async programming.
- Hands-on experience integrating LLMs (preferably OpenAI), knowledge of MCP, and exposure to multi-agent architectures.
- Experience integrating with third-party communications APIs. Previous experience with Twilio and/or WhatsApp is highly desirable.
- Experience with database technologies (SQL and NoSQL), caching techniques, and performance tuning.
- Experience with automated testing tools at various levels (unit testing, integration testing, e2e testing).
- Strong communication and collaboration skills.
Nice-to-have
- Experience working with containerization (Docker) and cloud infrastructure (AWS, GCP, or Azure).
- Experience with conversational AI frameworks (chatbot, voice assistant) and with AI/ML frameworks (LangChain, LangGraph).
- Experience integrating with 3rd party communications APIs. Previous experience with Twilio and/or Whatsapp is highly desirable.
- Previous work migrating legacy systems to modern stacks.
- Experience with real-time speech processing, TTS/STT, and telephony systems and PBXs (Asterisk, FreePBX, etc.).
Additional information
What we offer
We value a healthy work-life balance and long-term growth. Benefits vary by location, but here’s what you can expect:
Shared benefits
- 100% remote work, with the option to join our offices in Bologna or Barcelona.
- One extra day off for your birthday.
- Access to iFeel – our mental wellbeing platform.
Italy-specific
- €8/day meal vouchers – lunch is covered if you're in the Bologna office.
- Private health coverage via Metasalute.
Spain-specific
- Comprehensive private health insurance with Adeslas.
- Flexoh – flexible compensation platform.
- Wellhub – gym & wellness network membership.
- Language courses.
How does the recruitment process work?
- Online test – online async exercise to get a first sense of your tech skills.
- HR interview – a friendly chat to get to know you, your motivations, and tell you more about Tuotempo, our culture, and the team.
- Technical interview – with our Tech Managers, including practical exercises to evaluate your approach and problem-solving skills as a developer.
- Final interview — a broader conversation to align on expectations and future growth. If it’s a match, we’ll move forward with the offer!