Senior Backend Developer (NodeJS)

Dodo

San Francisco, CAFull-time$80–160K/yrSeen 1mo agoStill listed 1w ago

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At a glance

Compensation

$80–160K/yr

Location

San Francisco, CA

Schedule

Full-time

Work Authorization

Not specified

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Job overview

We are reimagining specialty clinics with advanced voice AI and multi‑agent systems, delivering real‑time phone and SMS conversations for healthcare. Join a small, ambitious team shaping patient engagement and care delivery through secure, scalable backend infrastructure.

Skills & qualifications

RequiredNice to have

Skills

Bash/ShellNode.jsTypeScriptNext.jsRESTful APIsGraphQLTwilioWebRTCLLMsGCPKubernetesContainersCloud BuildGitHub Actions

Qualifications

5+ Years Backend Experience3+ Years Real-Time Communication ExperienceVoice AI ExperienceHealthcare Software Experience (HIPAA Compliance)Startup Mindset

Full job description

We’re a reimagining how specialty clinics operate through advanced voice AI and multi-agent systems. Our platform powers intelligent, real-time phone and SMS conversations for healthcare, blending state-of-the-art AI with secure, scalable backend infrastructure. Join a small, ambitious team where your work directly shapes the future of patient engagement and care delivery.

What You’ll Do

Architect and build scalable backend services in Node.js and TypeScript
Design and integrate RESTful and GraphQL APIs (internal and third-party)
Develop and optimize real-time voice AI systems, including telephony (Twilio, WebRTC) and conversational agents
Contribute to the design and implementation of multi-agent AI systems for complex, stateful healthcare workflows
Work with LLMs and help shape our AI engineering frameworks (tool calling, retrieval, orchestration)
Optimize deployments and infrastructure on GCP (Kubernetes, containers)
Improve CI/CD pipelines (Cloud Build, GitHub Actions)
Collaborate with frontend, product, and AI teams to ship features fast
Champion best practices for performance, scalability, and security

What We’re Looking For

5+ years of backend experience with Node.js and TypeScript
3+ years building real-time communication systems (WebRTC, WebSockets, or telephony)
Experience with voice AI, conversational agents, or multi-agent system architectures
Experience in healthcare software (HIPAA compliance) or deep real-time systems expertise (both is a plus)
Startup mindset: You thrive in fast-paced, high-ownership environments

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