Summary
Join an early-stage AI-focused technology company as one of its first backend engineers. You’ll build the core services behind intelligent voice and browser-based automation, integrate enterprise systems, own reliability and observability in production, and work directly with founders and customers while helping establish the engineering organization.
Highlights
Fully remote work, direct access to founders and customers, high ownership from an early stage, founding-team equity, frequent production impact, and the opportunity to shape architecture, engineering culture, hiring, and operational practices.
Description
About The Role
Join a fast-growing, early-stage healthtech AI company as one of its first backend engineers.
The company builds AI voice and browser agents that automate the most painful administrative workflows for independent specialty clinics — including referral processing, scheduling, and insurance prior authorizations — and is already running in live production environments across Northern California.
You'll own the core services powering these agents, work directly with the founding team, and ship into real customer environments every week.
This is a high-ownership, high-impact role at a company where your work directly affects how clinicians spend their time.
What You'll Do
Design and build core backend services and APIs that orchestrate AI voice and browser agentsBuild integrations with EHRs, scheduling systems, and insurance/payer portalsOwn reliability, observability, and performance of agent workflows in productionPartner with the founders on architecture, tradeoffs, and product directionHelp shape engineering culture, hiring, and on-call practices as the team scales
What We're Looking For
Required:
3+ years building production backend systems in Python and/or TypeScript/Node.jsStrong fundamentals in system design, databases (PostgreSQL), and distributed systemsComfort with queues and event-driven architecturesExperience with cloud infrastructure (AWS or GCP) and modern observability toolingStrong product instinct and ownership mindset — able to scope, ship, and iterate independentlyCurrent work authorization to work remotely from a LATAM-based country or the United States (no visa sponsorship available)
Nice to Have:
Experience with LLM agents or deployed AI models in productionBackground in voice technologies (telephony, ASR/TTS)Experience with browser automationFamiliarity with healthcare/HIPAA-compliant environments
Compensation & Benefits
Salary: $70,000 – $100,000 USD/year (LATAM-based) or up to $150,000 USD/year (US-based), depending on experienceFounding-team equityDirect access to founders and real customers from day one
Location
Fully remote — open to candidates in LATAM (with overlap to US Pacific hours) or in the United StatesNo visa sponsorship available; candidates must have current work authorization
