Ambience Healthcare
Senior Software Engineer, Product
San Francisco · Senior
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odds of building a lasting career here
Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →H-1B wage level
the lottery is wage-weighted — each level is one more entry
$5,149 more — $193,149 — moves this role to Level III and 3 lottery entries. That figure is inside the range the employer already advertised.
Based on the DOL prevailing wage for this occupation and worksite, a base salary of $193,149 would place this position at wage Level III. That figure is within the posted range, and I'd like to target it. This role classifies under "Software Developers" for prevailing-wage purposes.
DOL prevailing wage, 2026-27 wage year · Software Developers (15-1252) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.
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Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
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About the role
- As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
- Our engineering roles are hybrid - working onsite at our San Francisco office three days per week.
Responsibilities
- Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience
- Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
- Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code
- We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
- Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
- You will have meaningful autonomy and be expected to drive work to completion.
Requirements
- You have a Bachelors degree and 5+ years of experience, or equivalent
- You have 5+ years experience tackling challenging zero-to-one software engineering problems that have spanned multiple teams
- You have a strong product instinct - you think about the end user experience, not just the technical implementation
- You're comfortable moving across the stack to take projects to the finish line, with solid experience in modern web technologies and cloud infrastructure (e.g. AWS/GCP, Postgres, Docker)
Compensation
- 401(k) with a company match of up to 3% of base salary
- Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
- Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24-January 1 designed to support real rest and long-term sustainability.
- Every offer at Ambience includes both base salary and an equity grant.
- The base salary range for this role is:
- (SF Bay Area): approximately $188k - $235k per year
Benefits
- Work on mission-critical AI technology that directly improves clinicians' day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
- To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond.
- Some of our key benefits include
- Comprehensive medical, dental, and vision coverage for you and your dependents
- Parental leave to support your family needs
Company info
- Here at Ambience, we never set out to be just another scribe. We're building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
- Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
- Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought - and we expect a lot from each other because we know the problems we're solving truly matter.
- Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We're backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins - and we're just getting started.
- Here at Ambience, we never set out to be just another scribe.
- We're building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
- Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work.
- Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
- Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners.
- We value candor, positivity and deep thought - and we expect a lot from each other because we know the problems we're solving truly matter.
- Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025.
- We're backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins - and we're just getting started.
- As a Senior Software Engineer on the Product team, you will design and build the features that healthcare providers interact with every single day as they care for patients.
This listing is sourced directly from Ambience Healthcare's careers page and normalized into a canonical job model.