Startups · AI

Senior Machine Learning Engineer

Ambience · San Francisco · On-site

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About Ambience

The AI partner built for clinicians, backed by 3x ROI. Turn frontier intelligence into measurable clinical, quality, and financial outcomes. Backed by a16z, Kleiner Perkins and 500 Global.

About the role

As a Senior Machine Learning Engineer at Ambience , you will build and improve the AI systems that power our clinical products. You’ll own complex projects end-to-end, from diagnosing production failures and designing evaluations to building, deploying, and iterating on model and agentic systems. This is a highly hands-on role with significant technical ownership.

What they're looking for

  • Strong Production AI Experience
  • 5+ years in production ML, research engineering, or applied AI
  • Have built a consequential production AI system or materially improved model behavior in production
  • Strong understanding of modern LLMs, transformers, and production AI systems
  • Deep Evaluation Experience
  • Experienced designing evaluations for LLMs, agents, or other complex AI systems
More about this role

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...

Read the full posting on Ambience's site ↗

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