Senior Software Engineer
Location: NYC Office
Employment Type: Full time
Location Type: On-site
Department: Engineering
Compensation: Estimated Base Salary $185K – $225K • Offers Equity

About the Company:
This organization is transforming healthcare communication through AI. Clinics currently miss 30–40% of patient calls, while staff are overwhelmed by administrative tasks. They believe AI agents should handle these workflows—scheduling, billing, prescription refills, and follow-ups—so healthcare providers can focus on patient care. Their AI agents complete workflows end-to-end, ensuring patients are never unheard. To date, they have managed hundreds of thousands of patient interactions across various healthcare sectors and insurers.

Founded by individuals with backgrounds from top universities and leading tech companies, the company has raised significant funding from well-known investment firms and accelerators. The team is based in New York, working rapidly to solve critical healthcare communication challenges.

Why This Role Is Important:

• ⚡ Early-stage impact: Working with paying customers and experiencing rapid revenue growth, impacting core systems during a pivotal growth phase.
• 🌍 Critical healthcare challenge: Addressing communication failures affecting millions daily to improve patient access and outcomes.
• 💡 Technical environment: Collaborating with founders who understand healthcare operations and advanced AI, enabling swift decision-making and ownership.

Key Responsibilities:

• ⚡ Lead deployment, performance, and reliability of AI agents in live healthcare environments
• 🌍 Architect and scale full-stack systems integrating with health records, legacy platforms, and real-time voice systems
• 💡 Develop technical strategies for customer-facing solutions, translating client needs into scalable architectures
• ⚡ Mentor engineering staff and establish standards for code quality, testing, security, and compliance with industry regulations
• 🌍 Identify systemic workflow issues and design high-impact technical solutions

Technical Challenges:

• Generative AI at scale: Design and run systems with language models ensuring safety, alignment, and real-time monitoring at enterprise scale
• Real-time voice systems: Build ultra-low-latency infrastructure supporting thousands of concurrent calls with 99.99% uptime
• Healthcare system fragmentation: Create resilient abstraction layers across APIs and legacy systems, maintaining security and compliance
• Personalized AI experiences: Develop adaptive models that remember patient context, personalize tone and flow, and mimic human conversations

Ideal Candidate Profile:

• 5+ years designing, building, and scaling reliable production systems
• Strong full-stack skills with Node.js, TypeScript, React, and PostgreSQL, plus good system design instincts
• High ownership, proactive in ambiguous situations, responsible for outcomes
• Proven mentoring and leadership capabilities, with clear communication of technical decisions
• Passionate about owning complex systems, solving tough problems, and collaborating closely with customers and teams