Staff Software Engineer, Product at Ambience Healthcare in San Francisco, CA

Job description

About Us: 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. 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 — working onsite at our San Francisco office three days per week. What You’ll Own: • Staff product engineers at Ambience drive new product areas, accelerate research and development of trustworthy AI for healthcare, and raise the standard of quality for other engineers and agents across the company. • Launch product areas: collaborate closely with go to market and research and development to bring new products to market. Recent launches include: longitudinal chart review to help clinicians prepare before visits, speech driven actions to reduce EHR burden, and our inpatient platform to power better care in hospitals. • Scale product areas: own the quality and velocity posture for a cluster of products and features. Can include enhancing products so they can expand across the entire health system, enabling rapid improvement of model-powered workflows, architecting systems so that they can serve the most complex patients at any time of day. Who You Are: • 7+ years of software engineering experience, including 3+ years architecting backend systems • Able to work in person at our San Francisco office at least three days per week • Track record of leading cross-team initiatives, scaling products and systems, and driving product outcomes • Skilled in TypeScript, Python, Go or other similar programming languages • Experience with React or similar frameworks helpful Staff product engineers are expected to have a strong foundation in: • System Design: Architect through requirements gathering, API design, database design, distributed systems, security best practices, and eliminating bottlenecks across network, compute, and storage layers to build excellent products that scale. • Operational Excellence: Apply testing, observability, incident resolution, retrospectives, and on-call experience to provide a high quality experience for clincians and patients and maintain a high pace of product improvement. • Project Planning: Deliver complex individual launches, parallel efforts across R&D