Senior Software Engineer

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 physician 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.

You'll design and ship core pieces of a real-time voice AI platform that practices depend on every minute their phones ring — conversation orchestration, scheduling logic, and the infrastructure that keeps it all reliable. Small team, big surface area: you'll own problems end-to-end and see your work answer real patients' calls within weeks, not quarters.

• Design and build scalable services for our conversational agent platform — from the real-time voice pipeline to scheduling and routing logic
• Own features end-to-end: design, implementation, tests, deployment, monitoring
• Develop production-grade software that meets HIPAA and healthcare security standards
• Raise the engineering bar through code review and design feedback
• Debug production issues in a system where reliability directly affects patient access
• Participate in the on-call rotation and mentor other engineers

Remote (US). If you're in the Birmingham, AL area, this role is hybrid from our office (3 days in office / 2 remote).

• 5 years building production backend or distributed systems
• Proficiency in a modern backend stack (e.g., Python or TypeScript)
• Comfort with rapid iteration, ambiguity, and wearing multiple hats
• Strong communication and a track record of mentoring

• Real-time systems, voice/telephony, or LLM-based product experience
• Experience in HIPAA-regulated or other compliance-heavy environments

• 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.