Founding Engineer

At Voxology AI, we’re reimagining patient engagement and access in healthcare with intelligent, AI-driven solutions.

Our mission is to empower healthcare providers to deliver seamless, patient-centric experiences by automating and enhancing administrative processes.

Our AI-powered, human-like agents engage with patients through natural conversations across voice, text, and chat—reducing hold times, removing after-hours limitations, and creating a frictionless experience. With robust integrations into leading EMRs, Voxology streamlines the entire patient journey, from initial scheduling to post-care follow-up.

🚀 Voxology AI is one of the fastest-growing startups in healthcare voice AI, winner of the KidsX Voice AI Sprint, and backed by Infinx, one of the largest revenue-cycle companies in the U.S.

We’re hiring a Founding Engineer to join us full-time on-site in Austin, TX.

You’ll take end-to-end ownership of our technical roadmap, working closely with leadership to design, build, and scale the platform that powers Voxology’s healthcare automation. This is a deeply hands-on role for a systems thinker who wants to shape both the product and engineering culture from the ground up.

• Own Voxology’s technical roadmap and drive vision, architecture, and execution.
• Design, architect, and build scalable AI products: data pipelines, model training, fine-tuning, and deployment.
• Ship features across backend and frontend (Python/React).
• Develop and maintain APIs, services, and user interfaces.
• Rapidly prototype and iterate on new AI features and automations.
• Collaborate with product, leadership, and go-to-market teams to translate business needs into scalable solutions.

• 5+ years building production-grade software (startup or fast-growth preferred).
• Ability to design, architect, and build end-to-end AI products and platforms.
• Proven experience with AI/ML pipelines (training, validation, inference).
• Fluency in TypeScript and Python, with strong testing habits.
• Proven skill with PostgreSQL (schema design, performance tuning, migrations; multi-tenant/HIPAA a plus).
• Comfort with DevOps & IaC (GitHub Actions, Docker, Terraform, Kubernetes) and on-call ownership.
• Hands-on experience—or strong passion—for LLM tool-calling, prompt design, and model orchestration in production.
• Curiosity and drive to stay ahead of the latest in LLMs, generative AI, and emerging AI research.
• Experience working with Microsoft Azure, particularly in AI, cognitive services, or cloud infrastructure.

• Voice AI, speech-to-text, or conversational AI.
• Healthcare tech, HIPAA-compliant systems, or EMR/EHR integrations.
• Familiarity with Azure or other cloud infrastructure.
• High-growth SaaS experience.

• Founding Team Equity: Meaningful ownership in what you help build.
• Competitive Compensation: Salary designed to attract top talent.
• Comprehensive Benefits: High-quality health coverage.
• In-Person Collaboration (Austin, TX): Work closely with the founding team for rapid iteration and deeper connection.
• Relocation Assistance: Support for candidates moving to Austin.