About the job
About Us:
At Ambience Healthcare, we are not just another scribe; we are pioneering an AI intelligence platform that reintegrates humanity into healthcare, delivering significant ROI for health systems nationwide.
Our innovative technology empowers providers to concentrate on delivering exceptional care by alleviating the administrative burdens that distract them from their patients and essential duties. Ambience offers real-time, coding-aware documentation and clinical workflow support across various healthcare settings at the leading health systems in North America.
Our teams operate with unwavering dedication and extreme ownership to develop optimal solutions for our healthcare partners. We cherish transparency, positivity, and deep contemplation, holding each other to high standards because we recognize that the challenges we tackle are of utmost importance.
Recognized as the leader in enhancing clinician experience by KLAS Research in their Emerging Solutions Top 20 Report, honored by Fast Company as one of the Next Big Things in Tech, acknowledged by Inc. as one of the best AI companies in healthcare, and selected as a LinkedIn Top Startup in 2024 and 2025. We're proudly supported by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we're just beginning our journey.
The Role:
Ambience is responsible for processing millions of patient encounters across the largest health systems in the country. These organizations rely on us for real-time clinical workflows where latency and reliability significantly influence patient care. A delay during a patient visit is not merely a negative metric; it can lead to a physician abandoning the tool.
In this position, you will oversee the core systems that enable Ambience to scale with reliability: database architecture, caching, multi-tenancy, and performance optimization that influences the user experience for clinicians. You will design database architectures that accommodate our growth, construct caching systems that prevent EHR API latency from affecting critical processes, and develop multi-tenant infrastructures that protect customer data while enhancing performance.
Your ultimate goal will be to create infrastructure that other teams rely on effortlessly.
Our engineering roles are hybrid, requiring presence in our San Francisco office three times a week.

