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Senior Software Engineer, Voice AI

US - CA🌐 Remote💼 Full-time💰 $125,000–$125,000🗓 2026-07-08 → 2026-07-31

Core

Design, build, and operate a production voice AI platform handling thousands of daily patient calls for automated test status, identity verification, and intelligent routing in the healthcare sector.

Role type

Senior Software Engineer, Voice AI

Builds

Natera's Voice AI platform (telephony, speech-to-text, LLM orchestration, text-to-speech) and agentic conversational workflows.

Domain

Healthcare / Voice AI / Conversational AI

Deliverable

production ML models | product features

Required skills

Voice AI pipeline architecture, multi-agent orchestration, real-time audio streaming, telephony integration, TypeScript/Node.js, LLM API integration, ASR/TTS optimization, latency management, WebSocket handling, analytics observability

Preferred skills

Healthcare/biotech domain experience, AWS infrastructure (ECS, Lambda, Bedrock), real-time systems expertise, RAG architectures, LLM observability tools

Technologies

Twilio, Deepgram, OpenAI, Anthropic, ElevenLabs, Azure Speech, NestJS, AWS, Kafka, Datadog

Responsibilities

Own end-to-end voice AI architecture from media streams to call disposition; Design and implement multi-agent systems with tool calling and state management; Build and optimize real-time audio pipelines (VAD, codecs, interruption handling); Architect analytics infrastructure for voice-specific metrics; Solve voice-specific challenges like turn-taking and barge-in; Integrate voice agents with internal services; Drive platform reliability and failover strategies; Mentor team members on voice AI best practices

Seniority

Senior, hands-on IC

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