Backend Software Engineer at InTouchNow.ai

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Job Title: Backend Software Engineer (£80k)

Salary: Up to £80k

Company Description: InTouchNow.ai http://InTouchNow.ai - Award-winning healthcare technology company building AI voice agents for the NHS.

Job Description:
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.

Location: Borehamwood, UK

Why this role is remarkable:

- 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.

What you will do:

- 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 including EMIS and SystmOne to automate administrative tasks.

- Architect and optimize AWS-based infrastructure to handle hundreds of concurrent patient interactions with minimal latency.

The ideal candidate:

- 5+ years of experience building production-grade backend systems using Node.js and distributed architectures.

- Demonstrates strong proficiency with event-driven systems, WebSockets, and cloud platforms (pre...