Staff Backend Software Engineer

Company: Ambience Healthcare
Location: San Francisco
Posted on: May 3, 2025

Job Description:

About Us:Ambience is developing the most capable AI systems for healthcare and medicine. As healthcare costs soar to 17.3% of US GDP and a projected shortage of 100,000 physicians within the next decade, the need for AI is critical. Our frontline healthcare workers are overwhelmed, with only 27% of the average clinician's day spent on direct patient care.Our vision is to equip every healthcare worker with an advanced AI co-pilot. We believe that people, augmented by AI, will enable us to deliver higher quality healthcare at a lower cost, improving the experience for everyone involved.Headquartered in San Francisco, we have secured $100M in funding from top investors, including Kleiner Perkins, OpenAI Startup Fund, Andreessen Horowitz, Optum Ventures, Human Capital, and Martin Ventures. We collaborate with leading AI experts such as Jeff Dean, Richard Socher, Pieter Abbeel, and AIX Ventures.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 approximately $200,000-$275,000 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. If your expectations fall outside of this range, we still encourage you to apply-our approach to compensation considers a range of factors to ensure alignment with each candidate's unique needs and preferences.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, paid maternity/paternity leave, quarterly retreats, unlimited PTO, and a 401(k) plan.
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Keywords: Ambience Healthcare, Antioch , Staff Backend Software Engineer, IT / Software / Systems , San Francisco, California