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.

Requirements

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.

System and Work Setup Requirements:

  • A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.
  • Own PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
  • Headset/earphone with noise cancellation and webcam at 720p or higher resolution
  • A designated, quiet, and well-organized workspace free from distractions to facilitate focused work

Benefits

  • Permanent remote work setup
  • Competitive starting rate paid in USD
  • Internet Allowance
  • HMO insurance (PH)
  • Paid US holidays
  • Paid Vacation and Sick Leaves

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Source: Berry Virtual | MedVirtual | AI Virtual job board (Workable (all companies)).

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