Backend Software Engineer at InTouchNow.ai

Job Title

Backend Software Engineer (£80k)

Up to £80k

In Touch Now .ai – Award-winning healthcare technology company building AI voice agents for the NHS.

Join a high-impact team building AI-powered voice agents that automate patient triage and bookings for over 100 GP practices. You will own core backend infrastructure, designing scalable services for real-time telephony and orchestrating complex AI workflows. Your work directly reduces NHS wait times and improves healthcare access for millions of patients.

Borehamwood, UK

• Work on a Class I Medical Device that is already live in over 100 clinics and scaling rapidly following recent funding.
• Solve complex technical challenges in real-time voice streaming and 200+ language translations for high-concurrency healthcare environments.
• Take significant ownership of core architecture in a small, fast-paced team where your code has immediate, life-improving impact on patient access.

• Design and build scalable Node.js services for real-time voice AI and event-driven telephony workflows.
• Develop deep integrations with critical NHS clinical systems such as EMIS and Systm One to automate administrative tasks.
• Architect and optimize AWS-based infrastructure to handle hundreds of concurrent patient interactions with minimal latency.

• 5+ years of experience building production-grade backend systems using Node.js and distributed architectures.
• Demonstrates strong proficiency with event-driven systems, Web Sockets, and cloud platforms (preferably AWS).
• Enjoys solving complex scalability challenges and owning systems end-to-end within a fast-moving, regulated environment.