Lead Full-Stack Engineer - Voice AI & Integrations

Key Responsibilities:

• CRM, EMR/EHR, and Business-System Integrations: Design, build, and maintain integrations with legal practice-management platforms, medical systems, accounting platforms, calendars, and other industry tools. • Reliable Appointment Scheduling: Own availability checks, booking, rescheduling, cancellations, confirmations, and synchronization across systems. Resolve time-zone issues, duplicate bookings, scheduling conflicts, and failed updates. • Voice AI Workflows: Connect Twilio and OpenAI conversations to dependable backend actions, including intake, contact creation, scheduling, call transfers, and follow-up. • Integration Architecture: Build reusable connectors with secure authentication, consistent data mapping, background processing, retries, duplicate prevention, monitoring, and recovery from failures. • Full-Stack Development: Deliver changes across the frontend, backend, databases, and third-party services. Investigate production problems and implement fixes directly. • Infrastructure and Reliability: Improve cloud infrastructure, deployments, CI/CD, observability, performance, security, and operating costs. • Technical Leadership: Work closely with the CTO to translate priorities into practical technical plans. Guide developers, review code, remove blockers, and stay accountable through testing, deployment, and customer use.

Must-Have

• Typically 7+ years of professional software engineering experience , with demonstrated ownership of production SaaS systems. • Strong TypeScript/JavaScript skills, substantial backend experience, and proficiency in Python. • Experience building frontend applications, backend services, APIs, and relational database systems. • Proven experience shipping and maintaining multiple production integrations using REST APIs, OAuth 2.0, webhooks, and asynchronous processing. • Strong understanding of two-way synchronization, rate limits, token refresh, partial failures, reconciliation, and data consistency. • Experience with scheduling or transactional workflows where incorrect or duplicate actions have real consequences. • Practical cloud infrastructure, containerization, CI/CD, logging, monitoring, and incident-response experience. • Ability to understand an existing codebase quickly, identify root causes, and deliver focused improvements. • Clear communication, sound technical judgment, and experience leading other engineers while remaining an active individual contributor.

Nice-to-Have

• Twilio voice, real-time audio streaming, OpenAI APIs, and AI tool/function calling. • Google Calendar, Microsoft Graph, and scheduling-platform integrations. • Legal platforms such as Clio, MyCase, PracticePanther, or Lawmatics. • Healthcare integrations such as athenahealth or Office Ally, including familiarity with FHIR/HL7 where applicable. • Experience engineering systems that handle sensitive patient or client information, including tenant isolation, access controls, audit trails, and secure credential storage. • Experience navigating vendor approval processes, restricted APIs, sandbox access, and integration partnerships.