Staff Backend Software Engineer

About Us:

Ambience Healthcare is the leading AI platform for documentation, coding, and clinical workflow, built to reduce administrative burden and protect revenue integrity at the point of care. Trusted by top health systems across North America, Ambience’s platform is live across outpatient, emergency, and inpatient settings, supporting more than 100 specialties with real-time, coding-aware documentation. The platform integrates directly with Epic, Oracle Cerner, athenahealth, and other major EHRs. Founded in 2020 by Mike Ng and Nikhil Buduma, Ambience is headquartered in San Francisco and backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, Kleiner Perkins, and other leading investors.

Join us in the endeavor of accelerating the path to safe & useful clinical super intelligence by becoming part of our community of problem solvers, technologists, clinicians, and innovators.

The Role:

As a Staff Software Engineer on the AI Platform team, you will design, build, and maintain the core infrastructure that empowers healthcare providers who use our platform every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.

In the first 6 months, you’ll be responsible for setting up the foundations for long term success, investing in platform observability, reliability, and scalability. As a technical leader, you’ll be responsible for the entire lifecycle of major technical initiatives in our AI stack--from system design to deploying the code you've written.

Our Engineering roles are hybrid in our SF office 3x/wk.

What You’ll Do:

• Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience

• Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers

• Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt

• Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code 

Who You Are:

• 5+ years of experience tackling zero-to-one engineering challenges, building and scaling systems to meet production SLAs, and navigating architectural trade-offs in distributed systems.

• Proficient with modern infrastructure stacks, including cloud providers (AWS, GCP), containers (Docker), queuing systems (Kafka), and databases (Postgres), and flexible across the stack to deliver projects.

• Skilled at mentoring engineers while remaining hands-on, driving quality, execution speed, and successful outcomes as a technical leader or engineering manager.

• Demonstrated ability to own end-to-end execution, from concept to impactful results, with a focus on building breakthrough product experiences.

• Thrives in environments of complexity and ambiguity, prioritizing collaboration and seeking the best ideas regardless of their source.

• Values kindness, encouragement, and being a supportive teammate, fostering a mission-aligned and ambitious team culture.

Pay Transparency
We offer a base compensation range of approximatel $225,000–$300,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.

Being at Ambience: 

• An opportunity to work with cutting edge AI technology, on a product that dramatically improves the quality of life for healthcare providers and the quality of care they can provide to their patients

• Dedicated budget for personal development, including access to world class mentors, advisors, and an in-house executive coach

• Work alongside a world-class, diverse team that is deeply mission aligned

• Ownership over your success and the ability to significantly impact the growth of our company

• Competitive salary and equity compensation with benefits including health, dental, and vision coverage, quarterly retreats, unlimited PTO, and a 401(k) plan

Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at [email protected]. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.