Lead Telephony Engineer, Voice AI & SIP Integration

ModMed; United States; On-site; USD 120,000 - 190,000; Full time

Job summary

ModMed is hiring a dedicated telephony integration engineer to connect medical practices to our Voice AI platform. You will own end-to-end telephony integrations, secure call paths, and reliable routing across diverse cloud and on-premise systems.

You will build repeatable deployment playbooks, monitor quality metrics like post-dial delay and transfer success, and eventually grow a small team as our healthcare telephony footprint expands. Travel to enterprise installs may be required.

Qualifications

• 7+ years hands-on telephony engineering.
• Deep SIP knowledge; able to read traces and diagnose issues.
• PBX and SBC configuration and troubleshooting experience.
• Fluent with CPaaS APIs for number provisioning and routing.
• Comfortable with customers and explaining technical concepts.

Responsibilities

• Connect practices to the voice agent by configuring SIP trunks, call routing, and latency tuning.
• Work across cloud and on-premise phone systems (RingCentral, Vonage, Cisco, Avaya, Mitel, NEC).
• Preserve caller identity across forwards and logs.
• Secure call paths with TLS, SRTP, and access controls.
• Design fallback routing, health checks, and on-call runbooks.
• Transfer calls back to practice with context when needed.
• Monitor quality metrics and set up alerts; mentor others as the team grows.
• Travel to enterprise installations as required.

Skills

Telephony engineering

SIP knowledge

PBX and SBC experience

CPaaS APIs

Customer-facing

Builder mindset

Tools

AudioCodes SBC

Ribbon SBC

Cisco CUBE

Twilio

Telnyx

SignalWire

Job description

ModMed is hiring a dedicated telephony integration engineer to connect medical practices to our Voice AI platform. You will own end-to-end telephony integrations, secure call paths, and reliable routing across diverse cloud and on-premise systems.

You will build repeatable deployment playbooks, monitor quality metrics like post-dial delay and transfer success, and eventually grow a small team as our healthcare telephony footprint expands. Travel to enterprise installs may be required.