Senior AI Engineer — Voice & Agentic Systems

About this role

Senior AI Engineer — Voice & Agentic Systems

Employment: Full-time
Location: Remote within the United States, or hybrid in San Francisco or Boston
Compensation: $180,000–$220,000 base salary plus competitive equity
Visa: Open to H-1B transfers and TN candidates; new H-1B sponsorship is not available

About the Role

We are seeking a Senior AI Engineer to build the systems that turn real-world patient interactions into increasingly capable AI agents. You will own the feedback loop from production usage through evaluation, data capture, and reinforcement-learning-driven improvement.

This role spans voice AI, autonomous workflow agents, and real-time copilots that support healthcare advocates. You will work closely with company leadership to ship reliable, production-grade systems that improve continuously and directly support better patient outcomes.

What You’ll Do

• Build and deploy **voice AI** that supports patient activation and handles outbound calls with insurers, vendors, and healthcare providers.
• Design agents that orchestrate end-to-end healthcare workflows, including durable medical equipment delivery, prior authorizations, and care coordination.
• Develop real-time copilots that assist and guide healthcare advocates.
• Establish evaluation infrastructure to measure AI-agent quality across interactions.
• Capture product-usage signals, create feedback loops, and implement reinforcement-learning pipelines that enable continuous performance improvement.
• Compose voice, workflow, and copilot agents into a cohesive AI Nurse experience with shared learning across systems.
• Deploy quickly, monitor real-world performance, and iterate based on actual patient conversations.
• Partner with leadership to shape the technical roadmap and make informed bets on emerging AI capabilities.
• Make scalable architectural decisions and establish engineering practices that support growth from hundreds to hundreds of thousands of patients.

What We’re...