Backend Engineer - AI Integration

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 so they can focus on delivering exceptional patient care.
Our cloud‑based platform seamlessly orchestrates the entire patient journey—from initial appointment booking through omnichannel appointment management to comprehensive follow‑up care, streamlining operations for providers and providing a frictionless experience for patients.
Discover how we’re reshaping healthcare delivery at

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—empowering you to work where you thrive!

Job Description
We are seeking a talented  Backend Engineer  to help us architect and build the next iteration of our AI‑powered products. You will drive the innovation of our AI integration and build modern, scalable, real‑time architecture, unlocking new capabilities and performances, starting from our conversational AI products. You’ll collaborate closely with AI engineers, product managers, and the broader engineering team.

Responsibilities

Architect, develop, and maintain scalable, robust backend services, starting from our voice and chat AI applications.

Experiment with new technologies to achieve real‑time and seamless integrations, implementing POCs to try the latest trends in AI environment, partnering with AI/LLM engineers.

Integrate 3rd‑party API integration such as Twilio (voice), Whats App, Eleven Labs, OpenAI and others.

Implement real‑time communication features (websockets, streaming), conversation architectures, and advanced voice capabilities.

Design, build, maintain, and improve multi‑agent orchestration frameworks for AI‑powered conversations.

Collaborate on CI/CD pipelines, ensure robust monitoring, logging, and operational support.

Write clear documentation and support knowledge transfer within the team.

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

Tackle and resolve support tickets

Develop, test, and deploy your first feature to production

Monitor the feature’s performance and impact

After Three Months

Achieve deep understanding of our AI system integration

Deliver three to five 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 this 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 No

SQL), 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 (Lang Chain, Lang Graph)

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.)

Addit…