Staff Software Engineer, Ambience Healthcare
Distributed Systems
$250-300k
Offers equity
3 days a week in office
AI operating system for healthcare
Be an early applicant
AI operating system for healthcare
101-200 employees
Be an early applicant
$250-300k
Offers equity
3 days a week in office
101-200 employees
Company mission
To supercharge clinicians with breakthrough generative AI technology.
Role
Who you are
- 7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
- Staff-level scope: owned cross-cutting infrastructure, debugged production issues that stumped others
- Strong backend fundamentals in Python, Go, TypeScript, or similar
- Deep experience with relational databases (Postgres preferred)
- Comfort reading code across the stack to trace performance issues
- Track record of diagnosing and solving scaling or reliability problems
What the job involves
- Ambience processes millions of patient encounters across the nation's largest health systems
- These organizations trust us with real-time clinical workflows where latency and reliability directly impact patient care
- A slow response during a patient visit isn't just a bad metric; it's a physician abandoning the tool
- You'll own the core systems that let Ambience scale reliably: database architecture, caching, multi-tenancy, and the performance optimization that determines whether our products feel fast or frustrating to clinicians
- You'll design database architecture that handles our growth trajectory, build caching systems that keep EHR API latency out of critical paths, and create multi-tenant infrastructure that isolates customer data without sacrificing performance
- The goal: infrastructure that other teams depend on without thinking about it
- Database Architecture & Scaling — Own database performance end-to-end: query optimization, indexing strategy, connection management, capacity planning. Design multi-tenant data patterns that maintain performance while balancing isolation tradeoffs
- Caching & Latency Optimization — Build caching infrastructure that keeps EHR API latency out of critical user paths. Identify and optimize hot paths across the application. Build instrumentation to catch performance regressions before they reach users
- Rate Limiting — Design systems that respect EHR API rate limits while maintaining user experience. Build infrastructure that degrades gracefully under load: queue management, circuit breakers, load shedding
- Reliability & Observability — Dashboards and alerting for database performance, cache hit rates, connection pool utilization, API latency by customer. Systematically identify and harden against failure modes: connection exhaustion, cache stampedes, thundering herds
Our take
Healthcare providers often find themselves overwhelmed by administrative duties like form filing and record coding, detracting from their primary focus on patient care. While these tasks are essential for billing and compliance, they are time-consuming and prone to errors.
In response to this challenge, Ambience Healthcare offers an AI-powered "operating system" designed specifically for healthcare organizations. Its suite of tools automates documentation, coding, and referrals, streamlining workflows for clinicians while enhancing accuracy.
With substantial funding, the company is expanding its business in the US and hopes top potentially include diagnosis in the future. While facing competition from startups like Corti and Babla, Ambience is well-positioned with strong investor backing and a clear focus.
Kirsty
Company Specialist at Welcome to the Jungle
Company
Funding (last 2 of 3 rounds)
Jul 2025
$243m
SERIES C
Feb 2024
$70m
SERIES B
Total funding: $343m
Company HQ
SoMa, San Francisco, CA
Leadership
Nikhil Buduma
(Co-Founder & Chief Scientist)Previously co-founded Lean On Me Peer Support where they served as a Board Member for over 8 years and Remedy Health where they served as the Chief Scientist for almost 4 years.
Michael Ng
(Co-Founder & CEO)Former Co-Founder and COO of Remedy Health. Was a Product Management MBA Intern at Sumo Logic, and Private Equity Associate at Calera Capital.
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