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Senior Software Engineer, Product

Ambience Healthcare - San Francisco, CA, USA - Hybrid - posted 2026-09-23

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Salary: USD 188,000 - 235,000 / annual

Ambience Healthcare is an AI intelligence platform transforming healthcare by removing administrative burden from clinicians and restoring focus to patient care. The company delivers real-time, coding-aware documentation and clinical workflow support across ambulatory, emergency, and inpatient settings at top health systems in North America. Backed by leading investors including Andreessen Horowitz, OpenAI Startup Fund, and Kleiner Perkins, Ambience has been recognized as #1 for Improving Clinician Experience by KLAS Research and named a LinkedIn Top Startup for 2024-2025. As a Senior Software Engineer on the Product team, you will design and build features that healthcare providers use daily in patient care. You'll take ownership of meaningful product initiatives end-to-end—from shaping the user experience with product and design partners to shipping high-quality code to production. In your first six months, you'll be a key voice in how the team builds, ensuring fast iteration without sacrificing reliability and craftsmanship. You'll work across the full stack, from architecting major product features leveraging AI advancements to anticipating system bottlenecks and proactively re-architecting components before they impact customers. You'll lead high-strategic-value product initiatives, accelerate iteration speed, prevent technical debt accumulation, and help establish engineering processes that encourage shipping quality code. The role is hybrid, requiring 3 days per week in the San Francisco office. You'll operate in a high-ownership, high-trust environment focused on solving mission-critical problems in complex, high-stakes healthcare workflows. REQUIREMENTS: - Bachelor's degree and 5+ years of software engineering experience, or equivalent - 5+ years tackling challenging zero-to-one software engineering problems spanning multiple teams - Strong product instinct with focus on end-user experience, not just technical implementation - Comfortable moving across the stack with solid experience in modern web technologies and cloud infrastructure (AWS/GCP, Postgres, Docker) - Demonstrated ability to own execution from inception through successful outcomes - Low-ego team player who prioritizes co-discovering best ideas - Kind, encouraging, and supportive teammate - Ability to thrive in high-complexity, high-uncertainty, high-ambiguity environments

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