Lead Full-Stack Engineer - Voice AI & Integrations
- Level
- Lead
- Work type
- Remote · Philippines only
Not stated in the posting: salary, visa.
Open. First seen 2 November 2026.
About the role
Key Responsibilities:
- CRM, EMR/EHR, and Business-System Integrations: Design, build, and maintain integrations with legal practice-management platforms, medical systems, accounting platforms, calendars, and other industry tools.
- Reliable Appointment Scheduling: Own availability checks, booking, rescheduling, cancellations, confirmations, and synchronization across systems. Resolve time-zone issues, duplicate bookings, scheduling conflicts, and failed updates.
- Voice AI Workflows: Connect Twilio and OpenAI conversations to dependable backend actions, including intake, contact creation, scheduling, call transfers, and follow-up.
- Integration Architecture: Build reusable connectors with secure authentication, consistent data mapping, background processing, retries, duplicate prevention, monitoring, and recovery from failures.
- Full-Stack Development: Deliver changes across the frontend, backend, databases, and third-party services. Investigate production problems and implement fixes directly.
- Infrastructure and Reliability: Improve cloud infrastructure, deployments, CI/CD, observability, performance, security, and operating costs.
- Technical Leadership: Work closely with the CTO to translate priorities into practical technical plans. Guide developers, review code, remove blockers, and stay accountable through testing, deployment, and customer use.
Requirements
Must-Have
- Typically 7+ years of professional software engineering experience, with demonstrated ownership of production SaaS systems.
- Strong TypeScript/JavaScript skills, substantial backend experience, and proficiency in Python.
- Experience building frontend applications, backend services, APIs, and relational database systems.
- Proven experience shipping and maintaining multiple production integrations using REST APIs, OAuth 2.0, webhooks, and asynchronous processing.
- Strong understanding of two-way synchronization, rate limits, token refresh, partial failures, reconciliation, and data consistency.
- Experience with scheduling or transactional workflows where incorrect or duplicate actions have real consequences.
- Practical cloud infrastructure, containerization, CI/CD, logging, monitoring, and incident-response experience.
- Ability to understand an existing codebase quickly, identify root causes, and deliver focused improvements.
- Clear communication, sound technical judgment, and experience leading other engineers while remaining an active individual contributor.
Nice-to-Have
- Twilio voice, real-time audio streaming, OpenAI APIs, and AI tool/function calling.
- Google Calendar, Microsoft Graph, and scheduling-platform integrations.
- Legal platforms such as Clio, MyCase, PracticePanther, or Lawmatics.
- Healthcare integrations such as athenahealth or Office Ally, including familiarity with FHIR/HL7 where applicable.
- Experience engineering systems that handle sensitive patient or client information, including tenant isolation, access controls, audit trails, and secure credential storage.
- Experience navigating vendor approval processes, restricted APIs, sandbox access, and integration partnerships.
Berry Virtual | MedVirtual | AI Virtual's standard text
System and Work Setup Requirements:
- A stable and high-speed internet connection preferably 25 MBPS or higher with backup in cases of power interruption or service provider issues.
- Own PC/laptop with 8GB RAM, and a processor of Core i5 / AMD Ryzen 3 / 2013 Mac equivalent or higher; Windows 10 or above / Catalina 10.15 or newer; with up-to-date web browsers, and security software, 500GB/128 SSD storage
- Headset/earphone with noise cancellation and webcam at 720p or higher resolution
- A designated, quiet, and well-organized workspace free from distractions to facilitate focused work
Benefits
- Permanent remote work setup
- Competitive starting rate paid in USD
- Internet Allowance
- HMO insurance (PH)
- Paid US holidays
- Paid Vacation and Sick Leaves
What this role asks for
Standard for full stack roles
CI/CD · JavaScript · Python · REST · TypeScript
Common in full stack postings at any company.
81% of this description is written for the role. The rest is Berry Virtual | MedVirtual | AI Virtual's standard text, folded away below.
Compared with Berry Virtual | MedVirtual | AI Virtual's other open jobs.
The team: AI Virtual HIRES STEADILY
This role is one of 7 open in AI Virtual. 5 were posted in the last 30 days and the oldest in August: a team that hires all year rather than one being built.
WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS
Python (6 of 7), JavaScript (5 of 7), TypeScript (5 of 7), AWS (3 of 7), Azure (3 of 7), CI/CD (3 of 7), LLM (3 of 7)
OTHER ROLES ON THIS TEAM
- Junior Full-Stack Developer (AI & API Integration) posted Nov 2
- Senior Full-Stack AI Engineer - Finance Applications & Integrations posted Nov 2
- Senior Full-Stack AI Engineer - Marketing Applications & Integrations posted Nov 2
- AI Enablement & Automation Specialist posted Oct 15
- AI Compliance & Governance Manager posted Aug 18
- AI Agent Developer posted Aug 18
From the team and dates on Berry Virtual | MedVirtual | AI Virtual's own job board.
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