Staff Software Engineer, Distributed Systems
Ambience HealthcareSan Francisco, California, United States
Posted February 2, 2026
250000 - 300000 USD
Full Time
About the Company
Ambience powers real-time clinical workflows at the country's largest health systems. Latency and reliability directly impact whether physicians adopt the tool.
Job Description
We're hiring a Staff Software Engineer to work on distributed systems and build infrastructure that enables Ambience to scale reliably. The role involves designing database architecture, caching, multi-tenancy, and performance optimization to ensure real-time clinical workflows.
Requirements
- 7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
- Strong backend fundamentals in Python, Go, TypeScript, or similar
- Deep experience with relational databases (Postgres preferred)
- Comfort reading code across the stack to trace performance issues
- Track record of diagnosing and solving scaling or reliability problems
Benefits
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- Parental leave to support your family needs
- 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
