This is us At Avenga, we believe that human creativity empowers technology that matters. Operating globally, our 6000+ specialists provide a full spectrum of services, including business and tech advisory, enterprise solutions, CX, UX and Ul design, managed services, product development, and software development. This is the job We are looking for a Senior Node.js Engineer to join an innovative Clinical IT initiative focused on building AI-powered agent solutions that optimize healthcare workflows and improve operational efficiency. This is an excellent opportunity for an experienced backend engineer who enjoys solving challenging technical problems, shaping architecture decisions, and contributing to the development of next-generation AI-enabled products. This is you 5+ years of commercial experience in backend software development. Strong proficiency in JavaScript and TypeScript. Extensive experience with Node.js and backend frameworks such as Express.js or NestJS. Solid understanding of RESTful APIs, microservices, and distributed systems. Experience with relational and NoSQL databases, including PostgreSQL, MySQL, MongoDB, and Redis. Hands-on experience with at least one major cloud platform (AWS, Azure, or GCP). Experience working with Docker, Kubernetes, and CI/CD pipelines. Strong knowledge of software architecture, design patterns, security principles, and performance optimization. Experience with automated testing, monitoring, and observability tools. Excellent analytical and problem-solving skills. Strong communication, collaboration, and mentoring abilities. Upper-Intermediate (B2) English or higher. Nice-to-have skills: Experience building AI-powered platforms or intelligent agent solutions. Knowledge of Python. Experience working in healthcare, Clinical IT, or other highly regulated industries. Familiarity with event-driven architectures and asynchronous messaging systems. Experience integrating third-party APIs and cloud-native services. Knowledge of infrastructure as code and modern DevOps practices. This is your role Design, develop, and maintain scalable backend services and APIs using Node.js. Architect and implement secure, reliable, and high-performance backend solutions. Collaborate with frontend engineers, product managers, architects, and other stakeholders to deliver business requirements. Design and optimize database schemas, queries, and data flows. Ensure system scalability, performance, reliability, and security. Conduct code reviews and promote engineering best practices across the team. Troubleshoot and resolve complex production and technical issues. Contribute to system architecture decisions and long-term technical roadmaps. Mentor junior and mid-level engineers and support their technical growth. Continuously improve development processes, CI/CD pipelines, and operational efficiency. Create and maintain technical documentation, coding standards, and engineering guidelines. What awaits you at Avenga? We offer an attractive social and benefits package. Everyone at Avenga is subject to professional growth via our mentorship program. Our specialists get regular performance reviews and technical assessments to identify development plans. The company provides extended training and certification opportunities. We stay up to date with the industry by embarking on tech talks, webinars, conferences, and hackathons. Avenga cares for its employees’ well-being by providing well-rounded health insurance coverage and fitness compensation programs. Our employees’ families are no less important, as we offer maternity aid and financial support for a number of family reasons, including marriage and childbirth. The company fosters a sense of professional belonging and an environment of togetherness: we achieve things together and celebrate our milestones. At Avenga, everyone matters. We provide equal opportunities in recruitment, career development, and leadership, regardless of race, ethnicity, gender identity, sexual orientation, disability, age, religion, or any other characteristic.