Senior Full-Stack Engineer

About Us:

Ambience Healthcare is the leading AI platform for documentation, coding, and clinical workflow, built to reduce administrative burden and protect revenue integrity at the point of care. Trusted by top health systems across North America, Ambience’s platform is live across outpatient, emergency, and inpatient settings, supporting more than 100 specialties with real-time, coding-aware documentation. The platform integrates directly with Epic, Oracle Cerner, athenahealth, and other major EHRs. Founded in 2020 by Mike Ng and Nikhil Buduma, Ambience is headquartered in San Francisco and backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, Kleiner Perkins, and other leading investors.

Join us in the endeavor of accelerating the path to safe & useful clinical super intelligence by becoming part of our community of problem solvers, technologists, clinicians, and innovators.

The Role:

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.

Our Engineering roles are hybrid in our SF office 3x/wk.

What You'll Do:

• 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.

Who You Are:

• 5+ years of relevant experience in software development, with a proven track record of success.

• Strong proficiency in TypeScript, Node.js, and React, with a willingness to learn and adapt to new technologies as needed.

• 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.

• 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.

Nice-to-haves:

• 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.

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.

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, quarterly retreats, unlimited PTO, and a 401(k) plan

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.