• Build scalable backend services and APIs using Python and FastAPI. • Develop clean, async, well-structured code following best practices. • Design and maintain multi-tenant systems. • Integrate third-party APIs (Veeva Vault, Adobe PDF Services, OCR). • Build and optimize React components for performance and usability. • Collaborate closely with product, design, and engineering teams. • Ship high-quality features fast and keep improving them.

Summary We are looking for a Full Stack Developer to code and operate on both front-end and back-end systems with Strong AWS background at Gainwell, this role is strictly involved in the development of the product and does not involve access to Protected Health Information (PHI) & Personally Identifiable Information (PII) or any secured/confidential client data. The role demands deep cloud infrastructure skills (ECS, Lambda, RDS, S3 Your role in our mission - Ensure that non-functional requirements such as performance, maintainability, scalability, usability, and reliability are being considered when architecting solutions. - Develop visually appealing front-end website architecture, including translating designer mock-ups and wireframes into front-end code Develop and design RESTful services and APIs. - Stay current with the latest developments in web applications and programming languages, including cutting edge software approaches, architecture. Ensure cross-platform optimization. - Strategize organizational direction on emerging technology platforms. - Architect, provision, and maintain AWS demo environments leveraging services such as EC2, ECS/Fargate, Lambda, S3, RDS, DynamoDB, IAM, KMS, API Gateway, CloudWatch, and AWS Glue. What we're looking for - Minimum 5 years’ AWS engineering experience, with strong Java development. - 5+ years of work experience as a Full Stack developer. - 2+ years of expert-level skills in writing and optimizing SQL. - Professional certification in AWS is preferred. - Proficient in CSS (Foundation or Bootstrap), JavaScript and HTML. - Experience in API design and development. - Will require late evening work to overlap US work hours, whenever it is required. What you should expect in this role - Career growth in a fast-paced, innovative organization. - Work Environment: Remote.

• 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), WhatsApp, ElevenLabs, 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.

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 so they can focus on their true passion: delivering exceptional patient care. Our cloud-based platform seamlessly orchestrates the entire patient journey—from initial appointment booking through omnichannel appointment management and extending to comprehensive follow-up care. The result? 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 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), WhatsApp, ElevenLabs, 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. 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 - 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 (preferablyOpenAI), 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 - Italian language is required 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!