Staff Software Engineer, Product

Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.

Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.

Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.

Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.

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.

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

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

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

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

• 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.