Startups · AI

Senior Backend Developer (NodeJS)

Dodo · San Francisco, CA, US / Remote (US) · Remote

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About Dodo

AI agents that handle communications for clinics. Backed by Y Combinator.

About the role

We’re a reimagining how specialty clinics operate through advanced voice AI and multi-agent systems. Our platform powers intelligent, real-time phone and SMS conversations for healthcare, blending state-of-the-art AI with secure, scalable backend infrastructure. Join a small, ambitious team where your work directly shapes the future of patient engagement and care delivery. Startup mindset: You thrive in fast-paced, high-ownership environments

What they're looking for

  • 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
More about this role

We’re a reimagining how specialty clinics operate through advanced voice AI and multi-agent systems. Our platform powers intelligent, real-time phone and SMS conversations for healthcare, blending state-of-the-art AI with secure, scalable backend infrastructure. Join a small, ambitious team where your work directly shapes the future of patient engagement and care delivery.

What You’ll Do

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

5+ years of backend experience with Node.js and TypeScript

3+ years...

Read the full posting on Dodo's site ↗

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