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Mira Mace — Senior AI Engineer, Voice Systems

United StatesUnited States·San Franciscosenior
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

Listing Details

First seen
August 18, 2026
Last seen
August 25, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
51%
Scored at
August 18, 2026

Signal breakdown

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davidjoseph-coMira Mace — Senior AI Engineer, Voice Systems