Calling your doctor shouldn't be harder than seeing your doctor. But at most practices, patients wait on hold, front-office staff drown in ring queues, and revenue walks out the door with every missed call.Transform9 builds AI agents that answer every call for physicin practices — scheduling appointments, routing callers, and resolving routine requests in seconds, around the clock. Our agents integrate directly with each practice's EHR, practice management, and phone systems, and adapt to how their front office actually works.Our agents have handled millions of patient calls for thousands of providers, cut average hold times by 90%, and decreased call abandonment by 80%. We're headquartered in Birmingham, AL, and growing fast.About the roleThe Core Platform team is the heartbeat of Transform9 — it owns every inbound and outbound call flow, all real-time voice processing, and every end-user touch point a patient or provider encounters. As a senior engineer and technical lead on this team, you'll set direction, drive architectural decisions, and own the reliability of a platform that practices depend on every minute their phones ring.What you'll doLead technical design and architecture for the Core Platform — the real-time voice pipeline, conversation orchestration, scheduling logic, and call routing engineOwn features end-to-end: design, implementation, tests, deployment, and monitoringSet and uphold engineering standards through code review, design feedback, and documentationPartner closely with product and infrastructure to keep the platform scalable and highly reliableServe as the primary escalation point for production issues affecting inbound and outbound call flowsMentor and grow engineers on the team; help shape the team's process and cultureParticipate in on-call rotation and contribute to incident retrospectivesDevelop production-grade software that meets HIPAA and healthcare security standardsCollaborate with Customer Success and Product to understand operator workflows and translate them into great UXLocationRemote (US). If you're in the Birmingham, AL area, this role is hybrid from our office (3 days in office / 2 remote).Requirements10+ years building production backend or distributed systemsDemonstrated experience leading or tech-leading an engineering team (formal or informal)Deep proficiency in a modern backend stack (Python, TypeScript, or equivalent)Strong background in real-time systems, event-driven architectures, or telephony/voice platformsTrack record of owning complex systems end-to-end and driving them to productionStrong communication skills — able to align stakeholders, write clear specs, and mentor peersComfort operating in a fast-moving, ambiguous environmentNice to haveExperience with voice/telephony platforms (SIP, WebRTC, media servers)LLM-based product or conversational AI experienceHIPAA-regulated or other compliance-heavy environment experienceExperience in healthcare technology or patient-facing systemsBenefitsTop-tier health coverage: medical, dental & vision401(k)Paid time off + holidays, and paid parental leaveIf you want to fix the front door of healthcare, we'd love to hear from you.Transform9 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.Note: the Transform9 team will only email you from a transform9.com email address.
Calling your doctor shouldn't be harder than seeing your doctor. But at most practices, patients wait on hold, front-office staff drown in ring queues, and revenue walks out the door with every missed call.
Transform9 builds AI agents that answer every call for physicin practices — scheduling appointments, routing callers, and resolving routine requests in seconds, around the clock. Our agents integrate directly with each practice's EHR, practice management, and phone systems, and adapt to how their front office actually works.
Our agents have handled millions of patient calls for thousands of providers, cut average hold times by 90%, and decreased call abandonment by 80%. We're headquartered in Birmingham, AL, and growing fast.
About the role
The Core Platform team is the heartbeat of Transform9 — it owns every inbound and outbound call flow, all real-time voice processing, and every end-user touch point a patient or provider encounters. As a senior engineer and technical lead on this team, you'll set direction, drive architectural decisions, and own the reliability of a platform that practices depend on every minute their phones ring.
What you'll do
- Lead technical design and architecture for the Core Platform — the real-time voice pipeline, conversation orchestration, scheduling logic, and call routing engine
- Own features end-to-end: design, implementation, tests, deployment, and monitoring
- Set and uphold engineering standards through code review, design feedback, and documentation
- Partner closely with product and infrastructure to keep the platform scalable and highly reliable
- Serve as the primary escalation point for production issues affecting inbound and outbound call flows
- Mentor and grow engineers on the team; help shape the team's process and culture
- Participate in on-call rotation and contribute to incident retrospectives
- Develop production-grade software that meets HIPAA and healthcare security standards
- Collaborate with Customer Success and Product to understand operator workflows and translate them into great UX
Location
Remote (US). If you're in the Birmingham, AL area, this role is hybrid from our office (3 days in office / 2 remote).
Requirements
- 10+ years building production backend or distributed systems
- Demonstrated experience leading or tech-leading an engineering team (formal or informal)
- Deep proficiency in a modern backend stack (Python, TypeScript, or equivalent)
- Strong background in real-time systems, event-driven architectures, or telephony/voice platforms
- Track record of owning complex systems end-to-end and driving them to production
- Strong communication skills — able to align stakeholders, write clear specs, and mentor peers
- Comfort operating in a fast-moving, ambiguous environment
Nice to have
- Experience with voice/telephony platforms (SIP, WebRTC, media servers)
- LLM-based product or conversational AI experience
- HIPAA-regulated or other compliance-heavy environment experience
- Experience in healthcare technology or patient-facing systems
Benefits
- Top-tier health coverage: medical, dental & vision
- 401(k)
- Paid time off + holidays, and paid parental leave
If you want to fix the front door of healthcare, we'd love to hear from you.
Transform9 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Note: the Transform9 team will only email you from a transform9.com email address.
Our mission is to transform access to care by making every patient interaction fast, reliable, and human-centered.At Transform9, we believe the front door to healthcare should work as well as the care itself. Patients shouldn’t wait on hold, struggle to schedule, or feel lost navigating a practice. Providers shouldn’t be buried under phones, workflows, and staffing constraints. We’re building the infrastructure that connects patients and practices with clarity, consistency, and trust.Transform9 is a conversational agent platform that handles high-volume patient communication for physician practices. Our agents answer phones, schedule appointments, route calls, and resolve common requests—seamlessly integrating with practice systems and adapting to each clinic’s real-world workflows and preferences. The result is fewer missed calls, shorter wait times, and a better experience for both patients and staff.We partner with forward-thinking practices to replace fragile call flows with dependable, always-on access. Our platform is built to handle the complexity of healthcare operations while remaining flexible, transparent, and easy to deploy.Transform9 is growing quickly as practices look for better ways to scale access without sacrificing quality. We’re building a team that cares deeply about execution, ownership, and real-world impact—and we’re just getting started.
Our mission is to transform access to care by making every patient interaction fast, reliable, and human-centered.
At Transform9, we believe the front door to healthcare should work as well as the care itself. Patients shouldn’t wait on hold, struggle to schedule, or feel lost navigating a practice. Providers shouldn’t be buried under phones, workflows, and staffing constraints. We’re building the infrastructure that connects patients and practices with clarity, consistency, and trust.
Transform9 is a conversational agent platform that handles high-volume patient communication for physician practices. Our agents answer phones, schedule appointments, route calls, and resolve common requests—seamlessly integrating with practice systems and adapting to each clinic’s real-world workflows and preferences. The result is fewer missed calls, shorter wait times, and a better experience for both patients and staff.
We partner with forward-thinking practices to replace fragile call flows with dependable, always-on access. Our platform is built to handle the complexity of healthcare operations while remaining flexible, transparent, and easy to deploy.
Transform9 is growing quickly as practices look for better ways to scale access without sacrificing quality. We’re building a team that cares deeply about execution, ownership, and real-world impact—and we’re just getting started.
