Senior Backend Developer (NodeJS)

We're reimagining how specialty clinics operate through advanced voice AI and multi-agent systems. Our platform powers intelligent, real-time phone and SMS conversations for healthcare, blending state-of-the-art AI with secure, scalable backend infrastructure. Join a small, ambitious team where your work directly shapes the future of patient engagement and care delivery.

As a Senior Backend Developer, you will:

• Architect and build scalable backend services in Node.js and TypeScript
• Design and integrate RESTful and GraphQL APIs (internal and third-party)
• Develop and optimize real-time voice AI systems, including telephony (Twilio, WebRTC) and conversational agents
• Contribute to the design and implementation of multi-agent AI systems for complex, stateful healthcare workflows
• Work with LLMs and help shape our AI engineering frameworks (tool calling, retrieval, orchestration)
• Optimize deployments and infrastructure on GCP (Kubernetes, containers)
• Improve CI/CD pipelines (Cloud Build, GitHub Actions)
• Collaborate with frontend, product, and AI teams to ship features fast
• Champion best practices for performance, scalability, and security

We're looking for someone who has:

• 5+ years of backend experience with Node.js and TypeScript
• 3+ years building real-time communication systems (WebRTC, WebSockets, or telephony)
• Experience with voice AI, conversational agents, or multi-agent system architectures
• Experience in healthcare software (HIPAA compliance) or deep real-time systems expertise
• Startup mindset and thrives in fast-paced, high-ownership environments

Join us in transforming healthcare communication through innovative AI solutions. You'll be working with cutting-edge technologies while making a real impact in the healthcare sector. Our mission is to make healthcare communication smarter, more efficient, and more human.