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Senior Full-Stack Engineer

Ambience Healthcare

Ambience Healthcare

Software Engineering
San Francisco, CA, USA
Posted on Friday, February 9, 2024

We are a hybrid, remote-friendly culture, with our company headquarters based in San Francisco. Candidates anywhere in the US are encouraged to apply.

About Us:

Ambience Healthcare is building the AI operating system for healthcare, with the mission of supercharging healthcare workers with AI superpowers.

Over the past several years, healthcare organizations and health systems have been approaching a critical turning point: workforce shortages and clinician burnout are at an all-time high, cutting into already-razor-thin margins and posing critical operational challenges. Organizations are finding themselves under immense pressure to address burnout and increase access to care, all while maintaining profitability despite declining reimbursement rates.

Until now, they have been unable to find any viable solutions to this productivity and morale crisis.

Ambience Healthcare was founded after 2.5 years of R&D in large language model (LLM) technology to address one of the most impactful productivity opportunities in healthcare: clinical documentation. The most painful part of a clinician’s day consists of hours of late-night administrative work, writing detailed documentation in the medical record for each of their visits. The contents of each medical note are critical for reimbursement, compliance, downstream clinical quality measures, and for other care team members to understand what happened to each patient.

Ambience's flagship product, Ambience AutoScribe, is a best-in-class AI medical scribe that captures the nuances of clinician-patient conversation in real-time into comprehensive medical documentation within the EMR. On average, Ambience saves 16+ hours of tedious note-taking per clinician per week. Today, AutoScribe is available across 18+ specialties and is used by clinicians at leading healthcare organizations for every single one of their shifts.

For the first time in years, clinicians are able to get home on time for dinner without any documentation homework. And as a result, they now refuse to practice without AutoScribe.

As we experience unprecedented pull from the market for our products, we’re actively expanding our team of world-class talent across sales, marketing, product, engineering, clinical, and customer success functions.

At Ambience, you’ll be surrounded by an exceptional team of A-players who are kind, humble, curious, and deeply aligned with the core mission of improving the lives of clinicians and their patients, including:

  • 2nd-time founders in healthcare who previously built a virtual care platform
  • the author of a leading deep learning textbook
  • co-founder of Cruise’s ML platform team
  • co-founder of’s automated speech recognition team
  • Former principal architect at Palantir
  • Founder of Reddit's web platform team
  • former Head of Growth from a leading tech-enabled primary care group

What You'll Do

As a Senior Full-Stack Engineer, you will play a crucial role in both the development and continuous improvement of our user-facing web applications and backend systems. You will work closely with Product Managers, Designers, and other stakeholders to deliver high-quality, scalable, and secure software solutions that meet the evolving needs of our users.

In this role, you can expect to:

  • Collaborate with cross-functional teams to implement new features and enhancements in our web applications, focusing on delivering an exceptional user experience.
  • Take end-to-end ownership of large software projects, including planning, coding, testing, and deployment, using modern web technologies like TypeScript, Node.js, and React.
  • Maintain and enhance our WebEMR integration capabilities, working on both frontend and backend components to ensure seamless interoperability with various healthcare systems.
  • Drive the improvement of our internal tools and dashboards, ensuring they meet the evolving needs of our team and support efficient operations.
  • Champion best practices in software development, including code reviews, testing, and maintainability, to ensure high-quality and resilient software.
  • Contribute to the design and implementation of robust API, authentication, and middleware solutions, enhancing the scalability and security of our platform.

What We Value

  • A demonstrated history of delivering impactful software projects, with a strong portfolio of work that showcases your skills across the full stack.
  • A collaborative mindset, with excellent communication skills and the ability to work effectively with team members across different disciplines.
  • A proactive approach to identifying and solving problems, with a focus on continuous improvement and innovation.
  • A commitment to high-quality work, with attention to detail and a dedication to writing clean, maintainable, and testable code.


  • Strong proficiency in TypeScript, Node.js, and React, with a willingness to learn and adapt to new technologies as needed.
  • 5+ years of relevant experience in software development, with a proven track record of success.
  • Willingness to commute to our San Francisco office 3x per week and travel 4x per year for team offsites and clinician shadowing sessions.
  • A passion for healthcare technology and a desire to contribute to a mission-driven organization.


  • Experience working in high-ambiguity environments, such as startups or innovative projects within larger organizations.
  • Flexibility to work across the stack, with the ability to take on backend tasks as needed.


Competitive salary range of $175,000 - $225,000, commensurate with experience, along with a meaningful equity package.

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
  • 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

We’re fortunate to be backed by:

  • Top-tier venture firms: Andreessen Horowitz and Kleiner Perkins
  • The best minds in AI: OpenAI Startup Fund, Jeff Dean, Richard Socher, Pieter Abbeel, AIX Ventures, and others
  • Healthcare industry leaders: Optum Ventures, Martin Ventures, the Frist family, Randy Parker, Anne Wojcicki, Jay Desai, Nish Bhat, Eren Bali, and others