Staff Engineer, Agent Productivity

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: Ambience is building AI systems that help clinicians deliver better care. To do that well, our engineers — and the AI agents working alongside them — need fast, reliable, low-friction systems for building, testing, verifying, and shipping software. You'll own the developer-productivity substrate for Ambience: dev environments, build/test workflows, CI, internal tooling, repo standards, verification systems, and safe tool access for agent-assisted development. The core idea: the same infrastructure that makes engineers effective also makes agents useful. Fast local stacks, deterministic tests, clear repo context, and repeatable verification loops turn agents from code generators into force multipliers. Our engineering roles are hybrid in our SF office, 3x/week. What You’ll Own: - Developer Environments — Own the local dev experience: devboxes, local DBs, Docker workflows, dependencies, secrets, and agent ergonomics. - Build, Test, and CI — Make feedback loops faster and more reliable. Reduce flaky tests, improve CI failure modes, and align local validation with CI. - Verification Infrastructure — Build reusable checks for high-risk workflows: frontend flows, migrations, schema changes, integration paths, API contracts, and structured evidence that lets reviewers trust agent-generated code. - Internal Tooling — Replace bespoke scripts and tribal knowledge with paved-road workflows: CLIs, scaffolds, templates, codegen, migration helpers, and release utilities that make the right workflow the default. - Agent Tool Access — Create scoped, auditable access to local DBs, browsers, GitHub, CI, logs, and docs while keeping PHI and production-data workflows controlled. Who You Are: - 7+ years of software engineering experience with Staff-level impact across teams. - Deep experience building developer productivity, platform, CI, test, or internal tooling systems that engineers adopted. - Strong backend/platform fundamentals in TypeScript, Rust, Go, Python, or similar. - Daily user of Claude Code, Cursor, Codex, or equivalent on real production codebases. - Clear opinions on where agents help, where they fail, and what infrastructure makes them reliable. - Sound security judgment — can translate risk into practical controls without freezing progress. - Willing to work from our San Francisco office 3x/week. PAY TRANSPARENCY We offer a base compensation range of approximately $250,000–$300,000 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. Outsi