Senior Backend Developer (NodeJS)
Hybrid (San Francisco)$80k - $160kFull-timePosted 11mo ago
About the role
Senior backend role at Dodo, building scalable Node.js/TypeScript services and real-time healthcare-focused backend systems, including APIs, real-time voice AI, and multi-agent workflows.
Responsibilities
- Architect and build scalable backend services in Node.js and TypeScript
- Design and integrate RESTful and GraphQL APIs (internal and third-party)
- Develop and optimize real-time voice AI systems, including telephony (Twilio, WebRTC) and conversational agents
- Contribute to the design and implementation of multi-agent AI systems for complex, stateful healthcare workflows
- Work with LLMs and help shape our AI engineering frameworks (tool calling, retrieval, orchestration)
- Optimize deployments and infrastructure on GCP (Kubernetes, containers)
- Improve CI/CD pipelines (Cloud Build, GitHub Actions)
- Collaborate with frontend, product, and AI teams to ship features fast
- Champion best practices for performance, scalability, and security
Qualifications
- 5+ years of backend experience with Node.js and TypeScript
- 3+ years building real-time communication systems (WebRTC, WebSockets, or telephony)
- Experience with voice AI, conversational agents, or multi-agent system architectures
- Experience in healthcare software (HIPAA compliance) or deep real-time systems expertise (both is a plus)
- Startup mindset: you thrive in fast-paced, high-ownership environments
Skills
Required:Node.jsTypeScriptRESTGraphQLWebRTC/WebSocketsGCP / KubernetesCI/CD
Nice to have:TwilioHIPAA
Last updated Jun 24, 2026. Interested? Apply on the company site.
About Dodo
AI Employees for Specialty Clinics
Dodo develops AI employees for specialty clinics, starting with veterinarians, fine-tuned on industry-specific knowledge and trained on protocols taken directly from employee manuals and playbooks, which often span multiple binders. Clinics hire Dodo's labor-as-a-software to handle front and back-office tasks, enabling clinics to provide 24/7 service. Dodo answers calls, sends medical records, and refills prescriptions—fully autonomously, with no human in the loop.