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Founding Software Engineer

Remote, USA Full-time Posted 2026-06-25

Strello Health is a pioneering company focused on developing AI-powered voice agents for the healthcare sector. They are seeking a Founding Software Engineer to build and manage the core systems that will drive their voice agent platform, ensuring reliable and low-latency infrastructure for real-time interactions.

Responsibilities

  • Design and implement core platform services (API gateways, voice processing pipelines, LLM orchestration, context engineering frameworks)
  • Build infrastructure for real-time audio streaming and processing with
  • Create robust integration layers with LLM providers (OpenAI, Anthropic, Google, etc.) and speech services
  • Develop monitoring, observability, and debugging tools for voice conversations
  • Optimize for cost and performance as we scale to thousands of clinics
  • Own production deployments and rotating on-call responsibilities
  • Make architectural decisions that will shape our technical foundation
  • Be an engineering thought leader within the company in relevant fields

Skills

  • Deep experience with Linux-like systems, and managing bare-metal servers
  • Strong fundamentals in distributed systems and APIs
  • Understanding of real-time systems or streaming data
  • Excited to learn about LLMs and voice technology
  • 1+ years of experience in backend or platform software engineering (co-op experience counts)
  • Previous experience building 0 to 1 systems that scaled
  • Deep experience with distributed systems, micro-services architecture
  • Comfortable making technical decisions with limited information
  • Previous work with ML infrastructure or LLM applications is a bonus
  • Experience with real-time systems (WebRTC, WebSockets) is a major plus
  • Previous contributions to open-source projects (link them!) is a bonus
  • Experience with Docker and Kubernetes deployments in production
  • Experience building scaled production Node.js systems is a bonus

Benefits

  • 0.25-1% equity

Company Overview

  • Strello Health is a voice platform designed for medical reception to handle incoming patient calls and booking appointments. It was founded in 2024, and is headquartered in Burlington, Ontario, CA, with a workforce of 2-10 employees. Its website is https://Strello.Health.
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