Senior AI Engineer — Voice Systems
Quick facts
- Pay
- $180K-$220K base salary plus competitive equity
- Type
- Full-time
- Location
- San Francisco, CA
- Experience
- 1–10 years
- Industry
- Information Technology — 671 open jobs
- Visa in listing
- H-1B, OPT
- Apply
- Free to apply — never pay anyone for a job offer or visa sponsorship
Job description
The company pairs Medicare beneficiaries with a dedicated healthcare advocate who navigates appointments, insurance, and care coordination on their behalf. Customers get the support of caring nurses while AI agents do the tedious backend work, all covered by Medicare. Today, 24/7 personalized health assistance is only available to the rich or extremely sick. Our vision is for everyone to be able to afford a health assistant who knows your health history deeply, navigates the healthcare system on your behalf, and propels you to become the healthiest version of yourself. Founded in 2025, backed by leading venture capital firms and top Silicon Valley angel investors. 9 employees, $6.5M total funding.
Responsibilities
- Automate tasks healthcare advocates currently do manually, including outbound voice calls to insurance, doctors, pharmacies, and patients
- Build and improve agentic search and multi-agent orchestration systems that coordinate across complex healthcare workflows
- Design evaluation infrastructure to measure and improve the quality of AI automations so advocates increasingly rely on them
- Implement reinforcement learning loops that use real nurse actions to train and improve models over time
- Ship fast and iterate directly with the team that listens to real conversations daily
Requirements
- 1-10 years of experience in AI/ML engineering, building systems including voice AI
- Has shipped voice AI and agentic/LLM-powered systems to production (not demos)
- Production voice AI stack: streaming STT/TTS, telephony, latency optimization, endpointing
- Agentic systems: context engineering, multi-agent orchestration, tool use, RAG
- Built evaluation pipelines for voice systems - metrics, regression suites, production signal
- Experience as a founder or from a stalling later-stage company, or Big Tech with prior startup experience
- Rapid learner who thrives in ambiguity - builds the playbook rather than following one
- Willing to relocate to SF in Q1 2027
Benefits
- $180K-$220K base salary plus competitive equity, higher for exceptional candidates
- Open to visa sponsorship (e.g. OPT, H1B transfers)
Visa sponsorship record
No public sponsorship records foundWe didn't find H-1B, H-1B1, E-3 or green card (PERM) filings under the name Jack in the Department of Labor and USCIS data. That doesn't mean the job can't be sponsored — the company may file under a different legal name, be new to sponsorship, or sponsor a visa that isn't in these datasets (for example H-2B or J-1).
Tip: ask the recruiter early, in writing, which visa they sponsor and whether they cover the legal and filing fees.
Which visas can work for this job
Occupation: Software Developers (SOC 15-1252).
- Mentioned in the listing
H-1B, OPT
- H-1B cap-exempt employer
Regular cap-subject employer — a new H-1B needs to win the lottery in March (unless you already hold cap-counted H-1B status).
- TN (citizens of Canada and Mexico)
This kind of role may fit the USMCA profession “Computer Systems Analyst (or Engineer, for engineering-degree holders)” — it depends on the actual duties. No lottery, no cap; you need the matching degree or license.
- E-3 (Australia) and H-1B1 (Chile, Singapore)
Same degree requirement as H-1B, but no lottery and a separate quota that is rarely filled.
- O-1 (extraordinary ability)
For candidates with awards, publications, press, a high salary or critical roles at distinguished organizations. No cap, no lottery; the employer files a petition.
- STEM OPT extension (F-1 students)
Requires an E-Verify employer. We didn't find this company in the E-Verify list — ask HR.
Salary vs prevailing wage
Level II (qualified)Software Developers · San Francisco-Oakland-Fremont, CA. Annual prevailing wages set by the Department of Labor (OFLC).
| Level | Prevailing wage | H-1B lottery odds* |
|---|---|---|
| Level I | $137,093 | ~15% |
| Level II | $165,131 | ~31% |
| Level III | $193,149 | ~46% |
| Level IV | $221,187 | ~61% |
This job pays $180,000–$220,000 a year — that's Level II (qualified). In the wage-weighted H-1B lottery a Level II registration gets 2 entries; estimated selection chance about 31%.
* Odds are DHS projections for the FY2027 wage-weighted lottery (actual results vary by year and employer). Since the FY2027 cap season the H-1B lottery is weighted by wage level: Level I = 1 entry, II = 2, III = 3, IV = 4. The level is set by the offered wage against the prevailing wage for the occupation and worksite. Separately, a $100,000 fee for new H-1B petitions for workers outside the US was announced in 2025; as of September 2026 a federal court ruling keeps it unenforceable while appeals continue — check the current status.
Sources: U.S. Department of Labor OFLC disclosure data (H-1B/H-1B1/E-3 LCA, PERM), OFLC prevailing wage data, USCIS H-1B Employer Data Hub, E-Verify participating employers. Data loaded: LCA FY2024–FY2026, PERM, USCIS Data Hub, OFLC wages; updated 2026-10-03. Employers are matched by name, so records of companies with similar names can occasionally be mixed up. This is general information, not legal advice — talk to an immigration attorney about your case.