Taxo
Staff Software Engineer (Voice AI Platform)
New York City · Staff+
Sponsorship not specifiedDetected 117 days ago
TypeScriptReactNext.jsNode.jsPostgreSQLRedisAWSTerraformCI/CDMachine LearningNLPLLMsA/B TestingComplianceProduct ManagementVoIPHIPAAHL7/FHIREHR/EMR
About the role
- We aren't just "testing the waters." We've secured major agreements with conglomerate healthcare groups across the US, UK, and KSA.
- As our Founding Engineer, you won't just be writing code - you'll be architecting the backbone of a global healthcare platform.
- You'll have a massive stake in the product direction, the culture, and the technical legacy of Taxo.
Responsibilities
- Architect for Scale: Build systems capable of serving hundreds of thousands of patients across three continents. Own the infrastructure that makes sub-second response times possible at global volume.
- Integrate Deep: Develop and fine-tune integrations with EHR/PMS systems, ensuring seamless data flow between our voice agents and provider systems.
- You're not joining a team, you're building a company.
- Build for the world, not just one market.
- Design, build, and scale the core voice AI platform from real-time speech processing to intelligent call routing.
- Product Engineering: Act as a true partner in product discovery - knowing when to build for perfection and when to ship for speed.
Requirements
- The Veteran: 5+ years of experience building production software, with a demonstrated track record of impact at a top-tier tech company or high-growth startup.
- The Owner: You are opinionated about code quality and user experience.
- 5+ years of experience building production software, with a demonstrated track record of impact at a top-tier tech company or high-growth startup.
Nice to have
- Your stake reflects that.
- This is the cutting edge.
- 🏥 Impact That Matters - Every feature you ship directly improves how millions of patients access care.
- 🌍 Global From Day One - US, UK, and KSA operations.
- Experience with voice, NLP, conversational AI, or real-time audio/speech systems is a major plus.
Compensation
- 💻 Competitive Compensation — Including health coverage, unlimited PTO, and the flexibility to do your best work.
Benefits
- 💰 Founding-Level Equity - 0.5-2%.
- 🧠 Frontier AI Work - Voice agents, real-time inference, healthcare-grade accuracy.
- 💻 Competitive Compensation - Including health coverage, unlimited PTO, and the flexibility to do your best work.
- Ship 0 → 1: Transform complex healthcare workflows into seamless, automated voice experiences.
- Collaborate directly with the founder and healthcare professionals to translate complex clinical SOPs into intelligent agent behaviors.
- Build for HIPAA, SOC 2, and the operational rigor that healthcare demands.
- "Leading healthcare into the agentic era."
Company info
- Influence engineering culture, hiring, and technical standards as the team grows around you.
- We move fast with a modern, scalable toolkit:
- Frontend: React, Next.js
- Backend: Node.js (TypeScript)
- Data & Infrastructure: Postgres, Redis, AWS, Terraform
- Intelligence: Leading-edge LLMs and Voice AI integration
- The Veteran: 5+ years of experience building production software, with a demonstrated track record of impact at a top-tier tech company or high-growth startup. You've lived through the chaos and you thrive in it.
- The Architect: You've built at scale before. You understand the nuances of serving large enterprise clients and high-volume end-user bases. You can design, build, and scale production-grade distributed systems.
- The AI Enthusiast: You stay current with AI/ML developments and are excited to implement them in practical, high-impact ways. Experience with voice, NLP, conversational AI, or real-time audio/speech systems is a major plus.
- The Owner: You are opinionated about code quality and user experience. You don't need a roadmap - you help draw it. Comfortable with rapid iteration, experimentation, and learning from failure.
- Bonus: Experience with telephony systems (SIP/VoIP), healthcare data standards (HL7/FHIR), or HIPAA-compliant infrastructure.
- We are solving a trillion-dollar problem in one of the world's most essential industries.
- With global enterprise backing and a clear path to expansion, this is a rare chance to join as a founding member with "day one" impact and "year five" stability.
- 💰 Founding-Level Equity - 0.5-2%. You're not joining a team, you're building a company. Your stake reflects that.
- 🧠 Frontier AI Work - Voice agents, real-time inference, healthcare-grade accuracy. This is the cutting edge.
- 🌍 Global From Day One - US, UK, and KSA operations. Build for the world, not just one market.
- Taxo is a small, fast, high-conviction team.
- We don't do bureaucracy.
- We don't do "that's not my job." We believe the best products are built by people who care deeply about the problem, move with urgency, and hold themselves to an impossibly high standard.
- If you want to be a founding engineer at a company that's changing how healthcare works - we'd love to hear from you.
This listing is sourced directly from Taxo's careers page and normalized into a canonical job model.