Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Design, implement, and maintain Python microservices for a real-time voice pipeline (capture, streaming transcription, LLM orchestration, TTS). Integrate providers and transports (WebRTC, SIP, phone), deliver ultra-low latency (<500ms), instrument tracing/metrics (OpenTelemetry), ensure production hardening and HIPAA-compliant security, and collaborate with ML, product, and client SDK teams.

Own end-to-end delivery of Sage, a conversational voice AI, for customer deployments. Conduct discovery, design workflows, configure agent behavior (prompts/guardrails), lead technical integrations, write clear requirements, support UAT and go-live, monitor performance, and iterate with engineering and customer success to scale deployments.

Lead nationwide business development for payer and PBM segments (Medicare Advantage, Medicaid, Commercial). Build pipeline, close complex deals with executive and clinical stakeholders, support RFPs, collaborate cross-functionally on strategy, product, and go-to-market to drive revenue growth.