Job Specifications
About The Company
Ambience Healthcare is at the forefront of transforming healthcare through innovative artificial intelligence solutions. Our mission is to restore humanity to healthcare by developing an AI intelligence platform that alleviates administrative burdens, allowing clinicians to focus on delivering exceptional patient care. Our technology provides real-time, coding-aware documentation and clinical workflow support across various healthcare settings, including ambulatory, emergency, and inpatient environments. Recognized for our impactful contributions, Ambience has been ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, named one of the Next Big Things in Tech by Fast Company, and listed among the best AI companies in healthcare by Inc. We are backed by leading investors such as Oak HC/FT, Andreessen Horowitz, OpenAI Startup Fund, and Kleiner Perkins, and continue to innovate at a rapid pace. Our team operates with a culture of relentless ownership, candor, positivity, and deep thought, committed to building solutions that truly matter in healthcare delivery.
About The Role
The Ambience Clinical AI Engineer plays a critical role in deploying and enhancing our clinical AI platform, impacting millions of patient encounters across the nation’s largest health systems. This position involves owning and developing evaluation and release infrastructure, observability tools, debugging systems, and data pipelines that ensure the quality and reliability of our AI models. The engineer will design and implement systems that enable rapid iteration and continuous improvement, facilitating teams to ship confidently and address issues proactively. Responsibilities also include building patient chart retrieval layers, supporting customization for different clinical workflows, and ensuring the performance and reliability of in-house models. This role requires a hybrid work model based in San Francisco, with a commitment of three days per week onsite, and offers a unique opportunity to influence the technical direction of a high-growth healthcare AI platform.
Qualifications
7+ years of experience in software engineering, including 3+ years focused on ML infrastructure, platform engineering, or data systems
Proven experience with backend development in Python, TypeScript, or similar languages
Experience building evaluation systems, data pipelines, or ML observability infrastructure
Strong understanding of MLOps from both ML and engineering perspectives
Track record of developing platform solutions that accelerate other teams’ productivity
Experience owning cross-cutting infrastructure and influencing technical direction across multiple teams
Excellent problem-solving skills and ability to work in a fast-paced, high-stakes environment
Comfortable working in a hybrid environment with in-person collaboration in San Francisco three times a week
Responsibilities
Develop and maintain evaluation and release infrastructure, including automated graders and release gates
Create unified evaluation dataset versioning and execution workflows to streamline model deployment
Implement production quality monitoring with end-to-end tracing, shared metrics, and automated alerts
Build debugging tools such as encounter replay systems and diff views to reproduce and analyze regressions efficiently
Design and develop the chart context retrieval layer, pulling relevant patient history into model-ready formats
Establish feedback loops that convert real-world usage data into training signals for continuous model improvement
Create infrastructure supporting clinician and site-specific customization, enabling scalable configuration of workflows and defaults
Ensure model serving performance and reliability, including capacity planning, setting SLOs, and managing regressions
Collaborate closely with product and clinical teams to understand requirements and deliver scalable solutions
Benefits
Comprehensive medical, dental, and vision coverage for employees and dependents
401(k) retirement plan with up to 3% company match
Remote-friendly culture with full equipment provisioning to support effective work from anywhere
Parental leave policies to support family needs
Participation in annual company-wide and team off-sites, with travel, lodging, and meals covered
Flexible time off policy with no annual cap, along with company-wide holidays and a holiday shutdown from December 24 to January 1
Opportunities for professional growth and impactful work in a mission-critical environment
Equal Opportunity
Ambience Healthcare is an equal opportunity employer committed to fostering a diverse and inclusive workplace. We do not discriminate based on race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply. We are d