Mira Mace — Senior AI Engineer, Voice Systems
Machine Learning EngineerData
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Quick Summary
Key Responsibilities
Streaming STT/TTS, telephony (Twilio/SIP), multi-agent orchestration, RAG, reinforcement learning
Requirements Summary
real-time streaming speech-to-text and text-to-speech, telephony (for example Twilio or SIP), latency tuning, and endpointing Strong agentic-systems experience: context engineering,
Technical Tools
Machine Learning EngineerData
Responsibilities
~1 min read- →Automating tasks that healthcare advocates currently do manually, including outbound voice calls to insurance, doctors, pharmacies, and patients
- →Building and improving agentic search and multi-agent orchestration systems that coordinate across complex healthcare workflows
- →Designing evaluation infrastructure to measure and improve the quality of AI automations so advocates increasingly rely on them
- →Implementing reinforcement-learning loops that use real actions to train and improve models over time
- →Shipping fast and iterating directly with the team that listens to real conversations daily
Tech stack: Streaming STT/TTS, telephony (Twilio/SIP), multi-agent orchestration, RAG, reinforcement learning
Requirements
~1 min read- Has shipped voice AI to production, not just prototypes or demos
- 1 to 10 years in AI/ML engineering, including hands-on work on voice systems
- A track record with a production voice stack: real-time streaming speech-to-text and text-to-speech, telephony (for example Twilio or SIP), latency tuning, and endpointing
- Strong agentic-systems experience: context engineering, multi-agent orchestration, tool use, and retrieval-augmented generation
- A clear signal of standout achievement, for example building at a high-growth startup, shipping major products, raising funding, or a comparable distinction
- A computer science undergraduate degree from a top-25 university in the US or Canada
- Comfortable operating in ambiguity, the kind of engineer who builds the playbook rather than following one
- Willing to relocate to San Francisco by Q1 2027
Nice to Have
~1 min read- Founder experience (for example YC), time at a fast-scaling later-stage company, or big-tech experience paired with an earlier startup chapter
- Experience building evaluation pipelines for voice systems: quality metrics, regression suites, and production-signal monitoring
What We Offer
~1 min read✓Voice is the product, not a feature. Phone conversations are how the work gets done in healthcare, so you would own the company's core capability rather than a side project.
✓Join at an early stage on a small team, where your decisions set the technical direction.
✓A founding team drawn from leading technology companies, with repeat-startup experience.
✓Durable moats in progress: reinforcement learning from real interactions, plus compounding local network effects across the care ecosystem.
- Salary: $180K–$220K
- Equity: Competitive (early-stage equity)
- On-site policy: Remote (US); preference for SF or Boston; relocation to SF expected Q1 2027
- Visa sponsorship: Open to visa transfers (e.g. OPT, H-1B transfers)
- Employment type: Full-time
- Location: San Francisco, CA / Remote (US)
Location & Eligibility
Where is the job
San Francisco, United States
On-site at the office
Who can apply
US
About this job
- Who can apply
- United States
- Posted
- 58 days ago
Listing Details
- First seen
- August 18, 2026
- Last seen
- September 14, 2026
Posting Health
- Days active
- 58
- Repost count
- 0
- Trust Level
- 19%
- Scored at
- October 16, 2026
Signal breakdown
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External application
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