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 <100ms latency requirements
- 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.