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

Design, build, and scale TypeScript-based backend services and React frontends for a conversational AI healthcare platform. Own APIs, microservices, databases, CI/CD, security/HIPAA compliance, integrations (Zitadel, scheduling systems), monitoring, incident response, and mentor junior engineers to improve reliability and performance.

Design, build, and scale backend APIs, microservices, and orchestration layers for a conversational AI healthcare platform. Ensure secure, HIPAA-compliant integrations (EHRs, FHIR), optimize performance and reliability, manage databases and data pipelines, maintain CI/CD and production services, troubleshoot incidents, and mentor junior engineers.

Lead design and maintenance of automated test frameworks and suites for Salesforce applications. Validate end-to-end workflows, Apex logic, LWC components, and API integrations. Integrate tests into CI/CD, track defects, create test plans and data strategies, and collaborate with Product, Engineering, and DevOps within Agile processes.

Lead QA for enterprise conversational AI deployments: design workflow-specific test cases, build AI-driven automated tests, validate prompts, perform daily LLM root cause analysis, debug live calls, monitor ASR/S2S pipelines, and collaborate with engineering and client stakeholders to ensure stable production deployments.

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.