---
title: 'Senior Software Engineer (Voice AI) at Taxo'
canonical: 'https://feeny.ai/job/senior-software-engineer-voice-ai-taxo-new-york-egbnc49j5bbd'
type: 'job'
last_seen: '2026-10-14'
---

# Senior Software Engineer (Voice AI) at Taxo

- **Company:** Taxo
- **Location:** New York, NY
- **Employment:** full-time
- **Work type:** onsite
- **Posted:** 2026-10-12
- **Last confirmed live:** 2026-10-14
- **Apply:** https://jobs.ashbyhq.com/taxo/5256e677-0f8c-4fb9-9771-b59094e7b39a

## Job description

Senior Software Engineer (Voice AI) Location: New York City | In-office

The Mission “Leading healthcare into the agentic era.” Every day, patients call their clinic to schedule an appointment, ask a question, or request a prescription refill. Behind each conversation is a busy healthcare team coordinating people, information, and systems. Taxo builds Voice AI agents that take on this administrative work. Our agents connect with EHR and practice management systems to help teams handle patient intake, complex scheduling, and refill requests, with reliable workflows and clear handoffs to people.

The Opportunity: Own the Voice Experience As our Senior Software Engineer (Voice AI), you’ll report to the CTO and own defined voice-runtime services that make a voice agent useful in a real healthcare conversation. You’ll build and operate speech, turn-taking, interruption handling, tool orchestration, observability, and production fixes for the services you own, while contributing to broader platform decisions with the CTO and engineering team. This is a hands-on role with direct influence on how the product works.

## What You’ll Do

- Build the Core: Build and improve real-time voice agents for healthcare administrative workflows, including intake, scheduling, and refill requests.
- Connect the Pipeline: Develop the conversation pipeline across speech recognition, language models, speech generation, and telephony integrations.
- Get the Conversation Right: Improve turn-taking, interruption handling, response latency, and recovery when a conversation or external system goes off track.
- Integrate Deep: Build voice-agent orchestration and tool calls on shared backend APIs and EHR connectors, partnering with the engineers who own those services and integrations.
- Measure Voice Performance: Own voice-component tests and production instrumentation for latency, turn-taking, and tool execution. Partner with the quality engineering team on shared evaluation tooling and cross-product regression coverage.
- Own Voice Production: Own voice-service observability, on-call response, diagnosis, and fixes. Use quality findings and rollout feedback to improve live voice behavior.

The Stack We move fast with a modern toolkit:

- Frontend: React, Next.js
- Backend: Node.js (TypeScript)
- Data & Infrastructure: PostgreSQL, AWS
- Intelligence: LLMs and Voice AI integration

## Who You Are

- The Builder: Hands-on experience shipping and operating real-time voice AI systems in production, including turn-taking, interruption handling, latency, and recovery from failures.
- The AI Engineer: Strong software engineering skills and practical experience with LLMs, agent frameworks, tool calling, and external APIs.
- The Problem Solver: Practical experience balancing latency, accuracy, cost, and voice conversation quality in live systems.
- The Architect: The ability to debug distributed systems and take ownership of reliability, observability, and testing.
- The Product Partner: Product judgment, clear communication, and a track record of moving from an ambiguous problem to a working solution.
- The Owner: Careful judgment around sensitive data, access controls, and safe escalation to a human.
- Bonus: Experience with streaming audio, SIP/VoIP, healthcare workflows, EHR integrations, or privacy-sensitive systems.

## Why Taxo

Healthcare teams should be able to spend more time on patients and less time on administration. Help us build the products and company that make that possible.

- 🧠 Frontier AI Work: Work on voice agents, real-time inference, tool use, and the hard problems of conversational quality.
- 🏥 Impact That Matters: Build systems that reduce administrative work and make it easier for patients to reach their care teams.
- 🛠️ Real Ownership: Take a problem from the first prototype through release, measurement, and improvement.

## Compensation

Base salary: $180,000–$220,000 USD annually Equity: 0.20%–0.50% Benefits: Health coverage

## How We Work

Taxo is a small, fast, high-conviction team. We care deeply about the problem, move with urgency, and take ownership of the work. We collaborate closely, make practical decisions, and keep improving through what we learn from customers. If you want to build voice AI that works in the real world of healthcare, we’d love to hear from you.

## About Taxo

## Company Overview
- **One-liner**: Taxo builds agentic AI for specialty clinics, automating the full spectrum of administrative operations such as patient intake, scheduling, insurance verification, and revenue cycle management.
- **Entity Type**: Private (no public funding rounds or investors disclosed; appears bootstrapped or early-stage)
- **Headquarters**: New York City, United States
- **Founded**: 2024
- **Founders**: Not publicly listed

## Core Business
- Primary industry: Healthcare IT / AI-powered administrative automation
- Target customers: B2B – specialty clinics, private medical practices, and healthcare organizations
- Mission or purpose: “Every patient deserves exceptional care — no matter who they are, where they are, or when they need it.” The company aims to eliminate administrative bottlenecks that delay patient care.

## Products & Services
- **Taxo Platform**: An omnichannel, AI-driven system that manages the entire patient journey — from referrals and scheduling to eligibility checks, claims processing, and reminders. It integrates with existing EHR systems and supports over 100 languages. The platform is HIPAA compliant and SOC 2 Type II certified. Type: SaaS / AI Agent platform.

## Market Standing
- **Valuation/Market Cap**: Not disclosed (private company, no reported funding rounds)
- **Key Metric**: Not publicly available (revenue not disclosed; 8 employees as of recent estimate, but actively hiring senior roles)
- **Notable Investors/Partners**: Not publicly available (no investors or strategic partners named)
- **Growth Signals**: Active hiring for senior engineering and leadership roles (Staff Software Engineer, Head of Growth & Partnerships) via [taxo.ai/careers](https://taxo.ai/careers); built their own AI platform with HIPAA/SOC 2 compliance; focus on “capacity unlocked” metrics (e.g., “see 0% more patients without adding front-desk seats”).

## Competitive Advantages
- **Deep vertical focus** on specialty clinics, a complex and underserved segment of healthcare administration.
- **Agentic AI** that handles the entire patient journey autonomously, not just isolated tasks.
- **Security-first approach**: HIPAA compliant and SOC 2 Type II certified, meeting the highest data protection standards.
- **Multilingual capability** (100+ languages) helps clinics serve diverse patient populations without additional staff.
- **Omnichannel** (phone, text, web) ensures no patient is left waiting.

## Strategic Focus
- Continue building and scaling the AI platform to cover more administrative workflows.
- Expand into new specialties and geographies, starting with the US market.
- Hire top-tier engineering and growth talent to accelerate product development and market adoption.

## Why Work Here
- **Mission-driven work**: Direct impact on reducing patient wait times and improving access to care.
- **Ownership and autonomy**: Described as “no layers of bureaucracy” – employees own meaningful work from day one.
- **Hybrid workspace**: Employees engage in a combination of remote and on-site work; NYC-based office.
- **Notable perks**: Not detailed, but emphasis on working alongside “people who are among the best at what they do” and solving nuanced, hard problems.
- **Recently posted roles**: Staff Software Engineer (Voice AI), Staff Software Engineer (Healthcare Intelligence), Full Stack AI Engineer, Head of Growth & Partnerships.

## Sources
1. [taxo.ai – official website](https://taxo.ai/)
2. [taxo.ai – About page](https://taxo.ai/about/)
3. [taxo.ai – Careers page](https://taxo.ai/careers)
4. [Built In – Taxo company profile](https://builtin.com/company/taxo)

Note: The domain `taxo.com` resolves to a separate tax-information website, while the healthcare AI company operates at `taxo.ai`. The careers link provided (`jobs.ashbyhq.com/taxo`) corresponds to this AI company.

## Other roles at Taxo

- [Senior Software Engineer (Full Stack)](https://feeny.ai/job/senior-software-engineer-full-stack-taxo-new-york-f1ss6atr90ez) — New York, NY
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- [Operations Associate](https://feeny.ai/job/operations-associate-taxo-new-york-13qehe8cyqe8) — New York, NY
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