Senior Backend Engineer, Healthcare Conversational AI

Take a Seat Tech; San Francisco (CA); Hybrid; USD 175,000 - 250,000; Full time

Job summary

Take a Seat Tech in San Francisco (hybrid) is seeking a Senior Backend Engineer to build the real-time voice and language infrastructure behind its healthcare conversational AI product. The role focuses on Python services, streaming systems, and integration with speech/LMC providers to ensure reliable real-time performance.

The candidate should have four or more years of production backend experience, strong Python skills, and hands-on experience with asynchronous or real-time systems.

Qualifications

• Four or more years of production backend experience.
• Strong Python and hands-on experience with asynchronous or real-time systems.
• Experience with WebSockets, WebRTC, or streaming gRPC.
• Experience with cloud infrastructure and container orchestration.
• Healthcare, telephony or regulated-industry experience is a bonus.

Responsibilities

• Build Python services and APIs.
• Integrate speech and language model providers.
• Improve streaming performance and manage conversational state.
• Strengthen observability, and build infrastructure that makes components easy to change without disrupting the service.

Skills

Python

Async real-time

Streaming data

Cloud infrastructure

Container orchestration

Tools

PostgreSQL

Redis

WebSockets

WebRTC

gRPC

Job description

# Senior Backend Engineer, Healthcare Conversational AIA hybrid San Francisco senior backend role building the real-time voice and language infrastructure behind a healthcare conversational AI product, paying $175,000 to $250,000.$175,000 to $250,000 a year San Francisco, California (Hybrid)FULL\\_TIMEBrowse open rolesHealthcare AIEngineeringFULL\\_TIME## About the roleMake healthcare conversations work better, behind the scenes.A healthcare AI company is hiring a Senior Backend Engineer to build the infrastructure behind its conversational products. The challenge goes well beyond connecting an app to a language model: transcription, reasoning, speech generation and playback all have to run together, in real time, reliably.At a glanceSalary: $175,000 to $250,000 a yearLocation: San Francisco, California. HybridStack: Python, asynchronous services, streaming systems, PostgreSQL, RedisWhat you will doBuild Python services and APIs.Integrate speech and language model providers.Improve streaming performance and manage conversational state.Strengthen observability, and build infrastructure that makes components easy to change without disrupting the service.What you will bringFour or more years of production backend experience.Strong Python and hands-on experience with asynchronous or real-time systems.WebSockets, WebRTC or streaming gRPC experience is particularly relevant.Cloud infrastructure and container orchestration.Healthcare, telephony or regulated-industry experience is a bonus.Why this roleTechnically demanding work where backend engineering, voice technology and healthcare meet, with direct influence over the platform's foundations.How to applyApply with your resume and an example of a production system you helped build.## Apply in under two minutesApply with your LinkedIn profile or upload a CV. An email address is required; everything else is optional. Every application is read by us, not a filter.## Questions candidates ask about this roleWhat does this backend engineer role pay?: $175,000 to $250,000 a year.Do I need voice AI or healthcare experience?: No. Four or more years of production backend work, strong Python and real-time systems experience are the core. Healthcare, telephony or regulated-industry experience is a bonus.What should I include in my application?: Your resume and an example of a production system you helped build.