{"id":4107729,"url":"https://alion.io/job/medvirtual-lead-full-stack-engineer-voice-ai-integrations","title":"Lead Full-Stack Engineer - Voice AI & Integrations","company":{"id":4535481,"name":"Medvirtual","domain":"medvirtual.ai","url":"https://alion.io/company/medvirtual-2","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Workable","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"lead","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["IN","CO","MX","PH","HN"],"hiring_countries_total":5,"salary":null,"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"CI/CD","optional":false},{"name":"JavaScript","optional":false},{"name":"OpenAI","optional":false},{"name":"Python","optional":false},{"name":"Rest API","optional":false},{"name":"Twilio","optional":false},{"name":"TypeScript","optional":false},{"name":"FHIR","optional":true},{"name":"Function Calling","optional":true},{"name":"Google Calendar","optional":true},{"name":"HL7","optional":true},{"name":"Windows","optional":true}],"status":"live","first_seen_at":"2026-11-02T00:00:00Z","employer_posted_date":"2026-11-02","last_verified_at":"2026-11-11T22:49:45Z","board_verified":true,"closed_at":null,"days_open":10,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":10},"description":"Key Responsibilities:\nCRM, EMR/EHR, and Business-System Integrations: Design, build, and maintain integrations with legal practice-management platforms, medical systems, accounting platforms, calendars, and other industry tools.\nReliable Appointment Scheduling: Own availability checks, booking, rescheduling, cancellations, confirmations, and synchronization across systems. Resolve time-zone issues, duplicate bookings, scheduling conflicts, and failed updates.\nVoice AI Workflows: Connect Twilio and OpenAI conversations to dependable backend actions, including intake, contact creation, scheduling, call transfers, and follow-up.\nIntegration Architecture: Build reusable connectors with secure authentication, consistent data mapping, background processing, retries, duplicate prevention, monitoring, and recovery from failures.\nFull-Stack Development: Deliver changes across the frontend, backend, databases, and third-party services. Investigate production problems and implement fixes directly.\nInfrastructure and Reliability: Improve cloud infrastructure, deployments, CI/CD, observability, performance, security, and operating costs.\nTechnical Leadership: Work closely with the CTO to translate priorities into practical technical plans. Guide developers, review code, remove blockers, and stay accountable through testing, deployment, and customer use.\nRequirements\nMust-Have\nTypically 7+ years of professional software engineering experience, with demonstrated ownership of production SaaS systems.\nStrong TypeScript/JavaScript skills, substantial backend experience, and proficiency in Python.\nExperience building frontend applications, backend services, APIs, and relational database systems.\nProven experience shipping and maintaining multiple production integrations using REST APIs, OAuth 2.0, webhooks, and asynchronous processing.\nStrong understanding of two-way synchronization, rate limits, token refresh, partial failures, reconciliation, and data consistency.\nExperience with scheduling or transactional workflows where incorrect or duplicate actions have real consequences.\nPractical cloud infrastructure, containerization, CI/CD, logging, monitoring, and incident-response experience.\nAbility to understand an existing codebase quickly, identify root causes, and deliver focused improvements.\nClear communication, sound technical judgment, and experience leading other engineers while remaining an active individual contributor.\nNice-to-Have\nTwilio voice, real-time audio streaming, OpenAI APIs, and AI tool/function calling.\nGoogle Calendar, Microsoft Graph, and scheduling-platform integrations.\nLegal platforms such as Clio, MyCase, PracticePanther, or Lawmatics.\nHealthcare integrations such as athenahealth or Office Ally, including familiarity with FHIR/HL7 where applicable.\nExperience engineering systems that handle sensitive patient or client information, including tenant isolation, access controls, audit trails, and secure credential storage.\nExperience navigating vendor approval processes, restricted APIs, sandbox access, and integration partnerships.\nSystem and Work Setup Requirements:\nA stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.\nOwn PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage\nHeadset/earphone with noise cancellation and webcam at 720p or higher resolution\nA designated, quiet, and well-organized workspace free from distractions to facilitate focused work\nBenefits\nPermanent remote work setup\nCompetitive starting rate paid in USD\nInternet Allowance\nHMO insurance (PH)\nPaid US holidays\nPaid Vacation and Sick Leaves","description_format":"text","description_chars":3836,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"India","iso":"IN","kind":"country"},{"name":"Colombia","iso":"CO","kind":"country"},{"name":"Mexico","iso":"MX","kind":"country"},{"name":"Philippines","iso":"PH","kind":"country"},{"name":"Honduras","iso":"HN","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Artificial Intelligence"],"lifecycle":[{"event":"open","at":"2026-11-11T22:49:45Z"}],"visa":[],"liveness":{"score":49,"band":"ok","label":"Likely open","p_open":1,"p_active":0.488,"p_room":1,"age_days":10,"expected_fill_days":29,"reasons":["conf:2","agency","win:early"],"computed_at":"2026-11-12T01:21:11Z"},"pay":null,"html_url":"https://alion.io/job/medvirtual-lead-full-stack-engineer-voice-ai-integrations","json_url":"https://alion.io/job/medvirtual-lead-full-stack-engineer-voice-ai-integrations.json","meta":{"generated_at":"2026-11-12T01:21:11Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":3181,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4535481},"rest":"https://alion.io/mcp/rest/get_company?id=4535481"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmedvirtual-lead-full-stack-engineer-voice-ai-integrations"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fmedvirtual-lead-full-stack-engineer-voice-ai-integrations"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fmedvirtual-lead-full-stack-engineer-voice-ai-integrations"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/medvirtual-lead-full-stack-engineer-voice-ai-integrations\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmedvirtual-lead-full-stack-engineer-voice-ai-integrations"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4107729}},{"tool":"search_jobs","arguments":{"company":"medvirtual.ai","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4107729},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); 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