Remote in Europe · Full-time · €65,000–€90,000 gross annually

ABOUT GATHER HEALTH
Gather Health is a Boston-area primary care practice serving adults 65 and older, many of whom face barriers to accessing care and support. We believe care is fundamentally human: the relationship between a patient and provider is foundational to helping people live well.
We work under a value-based care model: we are paid for keeping patients healthy, not for the number of visits we provide. Catching problems early and preventing avoidable hospital stays are central to how we operate, and we build technology that gives care teams more understanding and time to strengthen their relationships with patients.

THE ROLE
We are looking for a mid-level Backend Engineer to help build Esther, our AI voice agent and a core part of Gather Connect, our platform for supporting patients between visits. Esther calls patients for regular check-ins and support after a hospital discharge, in English, Spanish, Portuguese, and Vietnamese.



She helps us understand how patients are doing and connects their needs to the people who can help.
You will build the Python services that make those conversations useful: deciding when to call, bringing the right patient context into a conversation, and turning what a patient shares into reliable follow-up. Our next steps include more control over call timing and frequency, appointment scheduling, medication refill requests, and referral follow-up.
This is a hands-on individual contributor role on a small engineering team based in Germany, Spain, and Italy. You will own well-scoped features from technical design through deployment, with support and review from other engineers. You will work closely with product, design, and clinical operations to understand how your work affects patients and care teams.

WHAT YOU WILL WORK ON
• Build and extend APIs, data models, and background workflows for patient enrolment, call scheduling, preferences, and follow-up.
• Connect Es

📌 Backend Engineer (España)
🏢 Gather Health
📍 España