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. 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. 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. 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. You will own well-scoped features from technical design through deployment, with support and review from other engineers. Build and extend APIs, data models, and background workflows for patient enrolment, call scheduling, preferences, and follow-up. Connect Esther with our electronic health record and clinical data platform so conversations use relevant patient history and requests reach the right care team. Write tests, review code, investigate production issues, and ship compatible changes across separately deployed services. Treat patient privacy and secure data handling as part of everyday engineering.



Our stack includes Python with asynchronous FastAPI, PostgreSQL, Google Cloud Platform (GCP), LiveKit Agents, and Terraform. Experience shipping and maintaining backend services in production. Strong Python skills and experience building APIs with FastAPI or a similar framework. Practical experience with PostgreSQL or another relational database, including data modelling and schema migrations. Good engineering habits: readable code, useful automated tests, code review, and debugging with logs and metrics. Experience deploying containerized services to a cloud platform. Ability to take a defined problem through to a working release, ask for help when needed, and communicate decisions and progress clearly in English across a distributed team. Experience with GCP, Terraform, or OpenTelemetry. Experience with healthcare systems, sensitive personal data, or workflows where reliable follow-through matters. Spanish or Portuguese language skills, which help when reviewing and improving Esther's conversations. You will collaborate with our European engineering team and product, clinical, and operations colleagues in the US. We value people who are direct, practical, kind, and reliable, and who enjoy understanding a problem, making something tangible, and improving it together. We reserve 14:*:00 Central European local time (CET/CEST) each working day for collaboration with US colleagues. LOCATION & CONTRACT This is a full-time, permanent role on a local employment contract through our employer of record. You will have meaningful ownership in a small team, room to deepen your backend and applied AI skills, and a business model built around keeping people healthy. We handle your application data in line with the GDPR. #

📌 Back End Developer (Huelva)
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