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 5+ years of 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 e