Ambient Listening Engineer
DrFirst, Inc.3 months ago
Remote, United StatesSenior
Base Salary
$140k - $160k/yr
Responsibilities
- Design, build, and maintain real-time and near-real-time ambient audio capture and streaming pipelines.
- Integrate and fine-tune speech-to-text, speaker diarization, and noise-suppression models for clinical environments.
- Build services and APIs that convert ambient audio into clinical notes, summaries, and structured downstream data.
- Prototype workflow solutions with product, clinical informatics, and design partners.
- Own and improve pipeline reliability, latency, accuracy, instrumentation, and production monitoring.
- Handle audio and derived data with privacy and security controls aligned with HIPAA and applicable regulations.
- Evaluate third-party and open-source speech and language models and make build-versus-buy decisions.
- Participate in code reviews, design discussions, and the on-call rotation.
Requirements
- 5+ years of professional software engineering experience shipping and operating production systems end to end.
- Hands-on experience with real-time or streaming audio and data pipelines, such as WebRTC, gRPC streaming, or Kafka.
- Practical experience integrating or fine-tuning speech-to-text, NLP, or applied machine learning models, including tools such as Whisper, Deepgram, or Azure Speech.
- Strong backend engineering skills in Python, Go, or Java, with willingness to work across the stack.
- Experience working on small, fast-moving teams with overlapping responsibilities.
- Familiarity with AWS, Azure, or GCP and containerized deployment using Docker and Kubernetes.
- Clear written and verbal communication and comfort working with clinical or non-technical stakeholders.
- Preferred: healthcare technology, clinical documentation, ambient or voice AI, HIPAA or SOC 2 compliance, LLM-based summarization or structured extraction, and audio signal processing or acoustics experience.
Benefits
- Base salary of $140,000-$160,000 plus eligibility for a discretionary performance-based bonus.
- Medical, dental, and vision insurance; 401(k) eligibility after 3 months with a company match; HSA contributions; disability, AD&D, and life insurance.
- 18 days of accrued PTO during the first 3 years, increasing thereafter, plus 7 paid holidays and an Employee Assistance Program.
- Up to $1,500 annually in continuing education funds after 1 year of service, plus voluntary FSA, hospital indemnity, accident, and critical illness benefits.
- Remote-first work arrangement with occasional travel to client sites, conferences, or internal team meetings.
Categories
About DrFirst, Inc.
DrFirst builds medication management and e-prescribing software and data services for hospitals, health systems, EHR vendors, pharmacies, and clinicians, including Rcopia and MedHx, with tools for price transparency and controlled-substance eRx. Privately held and founded in 2000, it is headquartered in Arlington, Virginia. Its platform is integrated with 270 EHRs and used by 420,000 prescribers, 71,000 pharmacies, and over 2,000 U.S. hospitals, supporting care for about 100 million patients annually.