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.

Why Here:

Ambience powers real-time clinical workflows at the country's largest health systems. Latency and reliability directly impact whether physicians adopt the tool. This isn't theoretical scaling; it's infrastructure that matters.

Healthcare adds interesting constraints. Multi-tenancy has compliance implications. Caching patient data requires thinking about retention and access controls. Your infrastructure decisions have downstream security and privacy consequences.

We're growing rapidly across customers, encounters, and product surface area. The investments you make now will determine how smoothly we handle 10x growth. Small team, high trust, direct access to leadership. Staff engineers here shape technical direction, not just execute on it.

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.

Outside of this range? We still encourage you to apply. We take an individualized approach to compensation that accounts for experience, scope, and the life factors that matter to 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 to

• 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.

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.

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 [email protected]. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.

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 our ask candidates to download apps or make any form of payment(s). 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.