Senior Backend Software Engineer
Content + Source + Freshness • 16 Dec 2025 • 95% confidence
Offer value
High value due to competitive compensation, integration of AI in healthcare, and significant growth potential in a pioneering company.
- Competitive pay: $170,000–$250,000/year
- Impactful work in AI and healthcare
- Opportunities for continuous skill development
- High expectations focused on outcomes
Pros
- Salary between $170,000–$250,000 indicates strong market position
- Contributes to pioneering AI solutions in healthcare systems
- Supportive environment for professional development
Cons
- Expectations could lead to high workload under pressure
- Requires extensive experience that may limit candidate pool
- Focus on advanced AI technologies may demand continuous learning
Who it's for
Senior Level • Hybrid (3 days/week in-office)
Good fit
- Senior software engineers
- Professionals passionate about AI in healthcare
- Individuals with experience in hybrid work environments
Not recommended for
- Entry-level software engineers
- Candidates seeking remote-only roles
- Those preferring stability over innovation
Motivation fit
Key skills
About the job
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 Senior 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:
You have spent 5+ years working on challenging zero-to-one software engineering problems that have spanned multiple teams
You’re comfortable working on a modern infrastructure stack, including common 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 ideas
You value being a kind, encouraging, and supportive teammate to others
You thrive in environments with high levels of complexity, uncertainty, and ambiguity
Not sure if you meet all of the qualifications? We don’t expect every candidate to have done everything listed above, and we're excited to work with candidates who are eager to grow and develop their skills.
Compensation:
$170,000 - $250,000, with the addition of significant equity.
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
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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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