Senior Conversational Designer

Hello Patient

Senior Conversational Designer at Hello Patient improving AI agents for better patient communication. Collaborating with Product, Engineering, and QA to enhance conversational quality and reliability.

Posted 6/3/2026full-timeAustin • Texas • 🇺🇸 United StatesSenior💰 $120,000 - $160,000 per yearWebsite

About the role

Key responsibilities & impact

Define how agents respond across real-world scenarios (frustration, urgency, confusion, resistance)
Design conversations that balance empathy, efficiency, and task completion
Help agents establish trust fast and guide users toward successful outcomes
Analyze real interaction data to identify failure points, drop-offs, and opportunities to improve outcomes
Optimize for containment rate, task completion, and patient experience
Iterate quickly based on production metrics, QA feedback, and qualitative conversation review
Own or help manage the intake and prioritization of conversational issues coming from QA and customer-facing teams
Triage and prioritize live conversational issues across customers, balancing urgency, effort, and business impact
Move fluidly across multiple customer environments, diagnosing failures and driving fixes in production
Define what “high / medium / low priority” means for conversational issues
Write, test, and improve structured prompts that shape agent behavior, reasoning, and tone
Partner with Product and Engineering to translate conversational logic into production systems
Develop reusable patterns and frameworks that scale across conversation types and use cases
Review conversational work and identify where approaches need to be strengthened
Partner closely with QA to improve issue reporting, debugging workflows, and signal quality
Identify patterns across conversations and translate them into clear fixes
Help build standards, documentation, and training materials that improve team quality over time

Requirements

What you’ll need

2+ years of experience in forward deployed engineering, implementation, solutions, technical account management, or similar high-context customer-facing technical roles
Experience designing, improving, or evaluating AI-driven conversational experiences in production
Strong prompt writing and systems-thinking skills
Exceptional critical thinking and problem-solving skills
Strong instinct for human behavior, language, and how trust is built in conversation
Ability to assess conversational quality and give clear, actionable feedback
Desire to take on greater responsibility for team coordination, prioritization, and mentorship as the function grows
Preferred: Experience working on AI agents, chatbots, or LLM-based products in production
Experience operating across multiple customers, workflows, or deployments at once
Strong judgment in prioritizing production issues and balancing competing stakeholder needs
Experience creating frameworks, standards, or training materials for other team members
Comfort operating in ambiguity and moving quickly in an early-stage environment

Benefits

Comp & perks

Equity: Meaningful ownership in a fast-growing healthtech startup

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

AI-driven conversational experiencesprompt writingsystems thinkingframeworksstandards creationtraining materials developmentdata analysisissue reportingdebugging workflowsconversation design

Soft Skills

critical thinkingproblem-solvinghuman behavior understandingtrust buildingfeedback assessmentteam coordinationprioritizationmentorshipjudgmentadaptability