Salary: £80,000 - 90,000 per year
Requirements: - We require at least three years commercial experience as a Software Developer, Backend Developer or Backend Software Engineer.
- We require strong commercial development experience using Node.js, and Node.js or Node experience must be clearly stated on your CV.
- We require experience designing and building scalable backend systems.
- We require experience developing and maintaining APIs and service integrations.
- We require experience working with distributed, real-time or event-driven systems.
- We require familiarity with technologies such as WebSockets, message queues or streaming services.
- We require experience working with cloud platforms, preferably AWS.
- We require a strong understanding of SQL and/or NoSQL databases.
- We require experience integrating with external APIs and third-party systems.
- We require a good understanding of software architecture, application security and development best practices.
- We require experience writing maintainable, testable and production-ready code.
- We require strong analytical and problem-solving skills.
- We require the ability to diagnose and resolve complex technical issues.
- We require the ability to work effectively in a fast-paced and evolving technology environment.
- We require strong communication and collaboration skills.
- We require a willingness and ability to work from our Borehamwood office at least three days per week.
- Desirable experience includes developing software for voice or telephony systems.
- Desirable experience includes technologies such as Twilio, SIP or WebRTC.
- Desirable exposure includes large language models, conversational AI or AI-driven workflows.
- Desirable experience includes building systems that process streaming or real-time data.
- Desirable experience includes working within healthcare or another regulated environment.
- Desirable knowledge includes NHS primary care systems and workflows.
- Desirable experience includes integrating with systems such as EMIS, SystmOne or online consultation platforms.
- Desirable experience includes using infrastructure-as-code tools such as Terraform or AWS CDK.
- Desirable experience includes observability, logging, monitoring and production alerting.
- Desirable experience includes scaling high-availability production systems.
- Desirable knowledge includes data protection, information security and privacy-by-design principles.
Responsibilities: - We design, develop and maintain scalable backend services using Node.js.
- We build the services and infrastructure powering our real-time AI voice platform.
- We develop APIs and integrations that support conversational workflows and healthcare systems.
- We work on event-driven systems handling telephony, streaming data and AI-generated responses.
- We integrate with external platforms, including GP clinical systems, online consultation platforms and third-party APIs.
- We help design systems capable of supporting large volumes of concurrent patient interactions.
- We optimise backend services for performance, reliability, scalability and low latency.
- We diagnose and resolve technical issues across development and production environments.
- We contribute to decisions regarding system architecture, infrastructure and engineering best practices.
- We write clean, maintainable and well-tested code.
- We participate in code reviews and contribute to improving development standards.
- We work closely with product, operations and clinical teams to understand requirements and develop appropriate technical solutions.
- We support the monitoring, maintenance and continued improvement of production systems.
- We contribute to technical documentation and internal development processes.
- We help ensure systems are developed in line with the security, privacy and reliability requirements of a healthcare environment.
Technologies: - AI
- AWS
- Backend
- Cloud
- CTO
- Support
- NoSQL
- SQL
- Security
- Terraform
- NodeJS
- JavaScript
More:
We are InTouchNow AI, a fast-growing healthcare technology company building and scaling the backend infrastructure behind our AI voice platform for healthcare. Our platform supports real-time patient interactions across GP practices and clinics, helping improve patient access and reduce pressure on primary care teams. This is an opportunity to work on next-generation conversational AI technology, shape the core architecture of our platform, and work directly with our CTO and wider development team. We offer a competitive salary of £80,000 to £90,000 per year depending on experience, private health insurance, free on-site office parking, 20 days annual leave plus bank holidays, and a workplace pension scheme. We work in a hybrid arrangement from our Borehamwood, Hertfordshire office, with a minimum of three days per week in the office, and the role is full-time, Monday to Friday, 9:00 am to 5:00 pm.
last updated 39 week of 2026