Senior Software Engineer, Platform

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 Senior Software Engineer on the 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. You'll own 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 scalable, reliable platform infrastructure that underpins every product experience our clinicians depend on
• Anticipate system bottlenecks and proactively re‑architect key components before they create issues for our customers
• Lead platform initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
• Hold the codebase to a high standard and contribute to engineering processes that encourage shipping quality code with confidence

Who You Are

• You have a Bachelors degree and 5+ years of experience, or equivalent
• You have 5+ years experience tackling challenging zero‑to‑one software engineering problems that have spanned multiple teams
• You're comfortable working on a modern infrastructure stack, including cloud providers (e.g. AWS, GCP), containers (e.g. Docker), queuing systems (e.g. SQS, Kafka), and standard database technologies (e.g. Postgres)
• You have a demonstrated ability to own execution of ideas from inception through to successful outcomes
• You're willing to flex up and down the stack in order to take projects to the finish line
• You are a low‑ego team player who prioritizes co‑discovering the best ideas, even if they're not your own
• You value being a kind, encouraging, and supportive teammate
• You thrive in environments with high levels of complexity, uncertainty, and ambiguity

Pay Transparency

We offer a base compensation range of approximately $200,000–$265,000 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.

Life at Ambience

Working at Ambience means opting into a high‑ownership, high‑trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want

• Work on mission‑critical AI technology that directly improves clinicians’ day‑to‑day lives and health system financial health across some of the most complex, high‑stakes workflows in the world.
• Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
• Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.

To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include

• Comprehensive medical, dental, and vision coverage for you and your dependents
• 401(k) with a company match of up to 3% of base salary
• A remote‑friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
• Parental leave to support your family needs
• Annual company‑wide off‑sites, team off‑sites and regular team lunches and all‑hands gatherings, with travel, lodging and meals covered
• Flexible time off with no annual cap, company‑wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long‑term sustainability.

Equal Opportunity

Ambience Healthcare is an equal‑opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.

Accommodations

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 View email address on click.appcast.io. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.

Scam Warning

Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never ask candidates to download apps or make any form of payment. If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.