Full stack Engineer - LATAM, Europe, North America
This role is open to candidates in US, Europe, Canada and LATAM** About The Role We are building a healthcare-focused AI platform that automates patient engagement through conversational workflows (SMS and voice). At the core is an LLM-powered chatbot that operates as a multi-phase system combining structured data extraction, reasoning, message generation, and system-triggered actions. We are looking for an AI Engineer to build and scale these conversational agents in production. Tech Stack Backend priorities Strong experience needed in: Node.js, Express, TypeScript, PostgreSQL, Redis F…
- Remote
- ["Canada", "Modena, Emilia-Romagna, Italy", "United States"]
- Posted Jul 27, 2026
- 1 position
Job summary
This role is open to candidates in US, Europe, Canada and LATAM** About The Role We are building a healthcare-focused AI platform that automates patient engagement through conversational workflows (SMS and voice). At the core is an LLM-powered chatbot that operates as a multi-phase system combining structured data extraction, reasoning, message generation, and system-triggered actions. We are looking for an AI Engineer to build and scale these conversational agents in production. Tech Stack Backend priorities Strong experience needed in: Node.js, Express, TypeScript, PostgreSQL, Redis Familiarity with these is ideal: Prisma (or other ORM experience), tRPC, HIPAA compliance Frontend priorities Strong experience needed in: React, TypeScript, Redux OR Zustand OR other state management libraries Familiarity with these is ideal: Tailwind, AWS Cognito DevOps priorities Strong experience needed in: AWS, Terraform Familiarity with these is ideal: Azure, HIPAA-compliant environments Chatbot Architecture Context 4-phase workflow: analysis, decisioning, message composition, system execution Redis and BullMQ for async job orchestration Vitest used for testing and evals Handlebars used for prompt and message templating Telemetry used to continuously improve system performance What You’ll Do Build and improve LLM-driven conversational agents Design prompt strategies and decision logic Integrate AI with backend systems, queues, and APIs Handle complex edge cases across conversation flows Optimize performance, reliability, and cost of AI systems Use telemetry and testing feedback to improve outputs What We’re Looking For Mid to senior level, senior preferred Strong backend engineering experience Ability to work independently and take ownership Strong English communication skills (written and verbal), required Engagement Details Type: Full-time (40 hours/week) Duration: Long-term 6 month contract (initial) Location: Remote Collaboration: Must overlap at least 5 hours with U.S. Pacific time
What you’ll do
Build and scale LLM-powered conversational agents for a healthcare AI platform. Design prompt strategies, integrate AI with backend systems, and optimize system performance and reliability.
Requirements
Mid to senior level engineer with strong backend experience in Node.js, TypeScript, and AWS. Must have strong English communication skills and the ability to overlap 5 hours with U.S. Pacific time.
Other relevant skills
Identified from the job description. Confirm important requirements above.
- Node.js
- Express
- TypeScript
- PostgreSQL
- Redis
- React
- Redux
- Zustand
- AWS
- Terraform
- LLM
- Prompt Engineering
- Prisma
- tRPC
- BullMQ
- Vitest
Additional details
- Minimum experience
- 5+ years