# Senior Backend Engineer, Infrastructure at Ellipsis Health

Senior Backend Engineer, Infrastructure at Ellipsis Health in San Francisco - Hybrid. Hybrid, full-time, paying $160k–$250k. Posted May 1, 2026.

- Company: Ellipsis Health
- Location: San Francisco - Hybrid
- Workplace: Hybrid
- Job type: Full-time
- Pay: $160k–$250k
- Posted: 2026-05-01
- Apply: https://jobs.ashbyhq.com/ellipsis-health/67e82acf-4394-471c-bbc1-fd825df4fab4/application
- Source: https://jobmagic.ai/jobs/senior-backend-engineer-infrastructure-ellipsis-health-270s6e

## Description

Ellipsis Health is developing cutting-edge AI/ML products to address healthcare staffing issues and administrative burdens. The platform employs conversational AI and patented vocal biomarker technology to deliver improved healthcare experiences for clients and patients. The team is headquartered in Silicon Valley and is funded and supported by preeminent venture capital groups and healthcare institutions.
In this role, you will be a core contributor and technical leader within our AI Research & Engineering team. Operating at the sweet spot between cutting-edge scientific research and production-grade systems, you will drive the conceptualization, architecture, and deployment of frontier agentic systems. You will collaborate directly with core infrastructure and platform teams to translate algorithmic breakthroughs in LLMs and agentic AI into robust, secure, and low-latency clinical applications.

### Responsibilities:

-  Expand and maintain our real-time voice pipeline: design, implement, and
maintain Python micro-services for conversational AI orchestration—audio
capture, streaming transcription, prompt/LLM logic, synthesis, and playback.

-  Integrate new providers & transports: add plug-ins for emerging ASR, TTS,
LLM, and memory services; wire up WebRTC, SIP, or phone endpoints; build
adapters that allow hot-swapping components without downtime. Build API
endpoints.

-  Deliver ultra-low latency (