Ambience Healthcare

Ambience Healthcare

Staff Product Security Engineer

San Francisco · Staff+

Sponsorship not specified$226k-$283kDetected 34 days ago
PythonJavaGoCode ReviewAWSRESTOAuthCybersecurityDesign SystemsHIPAAResearchLeadership

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odds of building a lasting career here

59Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

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.

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H-1B wage level

the lottery is wage-weighted — each level is one more entry

Level IV · 4×
Level I$80,8701 entry
Level II$121,0142 entries
Level III$161,1383 entries
Level IV$201,2824 entries

This range already reaches Level IV — the maximum four lottery entries.

DOL prevailing wage, 2026-27 wage year · Computer Occupations, All Other (15-1299) · 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.

Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

6 transfer filings in the last year, covering 6 workers. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

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

  • Ambience runs real-time clinical workflows inside some of the country's most security-sensitive health systems.
  • You'll bring deep product security expertise and a strong software engineering foundation while extending your impact into cloud security as our AWS environment evolves.
  • Our engineering roles are hybrid - working onsite at our San Francisco office three days per week.

Responsibilities

  • You'll partner with engineering from design through verification on high-risk changes and foundational product capabilities.
  • Secure design for high-risk changes - Guide initiatives from design proposals and architecture decisions through implementation and verification.
  • Validate impact, recommend practical mitigations, and drive material issues to verified resolution or explicit risk acceptance.
  • You'll own security analysis, technical requirements, risk decisions, and tooling-and contribute code wherever it creates the most leverage.
  • You don't just find vulnerabilities; you design systems that prevent entire classes of them.
  • 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 the depth to operate independently across complex product security challenges-typically developed through 8+ years of experience-and the range to extend into adjacent areas such as cloud security.
  • You can move from an architecture diagram into the implementation path that matters.

Nice to have

  • Experience designing or securing relationship-based or fine-grained authorization systems
  • Offensive security or red-team depth used to demonstrate impact and influence priorities
  • Experience securing enterprise AI applications, AI-enabled products, or internal AI adoption
  • Deep AWS security experience, including IAM, network architecture, workload isolation, configuration management, and CNAPP operations
  • At most companies, security is reactive.
  • At Ambience, it's a product enabler.
  • You'll have meaningful ownership, direct access to leadership, and the opportunity to define product security at a company where it truly matters.
  • You'll join a small, high-trust team working on technically deep, mission-critical problems.

Skills

  • Cloud security fluency or aptitude.

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 $226k - $283k 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.
  • Security can't be bolted on-it must be engineered into the product.
  • This is a senior technical role focused on how Ambience designs, builds, and operates secure products.
  • You'll design secure systems, work fluently with code, and use AI to build context quickly, accelerate learning, and extend your reach-while grounding every decision in strong computer science, security fundamentals, and technical judgment.
  • Define threat models and security requirements, review sensitive implementation paths, and contribute prototypes, automation, or PRs when needed.
  • A credible, risk-based security backlog - Own findings from product reviews, bug bounty, penetration tests, audits, cloud tooling, and hands-on testing.
  • Security engineering that scales - Expand coverage through guidance, developer enablement, automation, and well-operated tooling.
  • Own tools across integration, tuning, triage, maintenance, and measurement-and improve or retire those that aren't reducing risk.
  • Cloud risk reduction through our AWS migration - Partner with Platform and Infrastructure Engineering to reduce risk across IAM, network segmentation, workload isolation, secrets, logging, and configuration.
  • Apply strong security fundamentals while building deeper AWS expertise, operationalizing our CNAPP, and establishing practical guardrails.
  • Security across the environment - Reduce risk across production, development, software delivery, enterprise AI, and internal systems.
  • Help scope and remediate incidents, then turn lessons learned into durable improvements and secure paved paths.
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This listing is sourced directly from Ambience Healthcare's careers page and normalized into a canonical job model.