# Staff Software Engineer, Distributed Systems at Ambience

- Company: Ambience
- What the company does: 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.
- Company website: https://www.ambiencehealthcare.com/
- Type: Startups (AI role)
- Level: Senior
- Location: San Francisco
- Work setup: On-site
- Pay: $226K to $283K base salary per year (USD)
- Posted: 2026-02-02
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/ambiencehealthcare/5cb55a29-7fb1-49b7-a361-fb540d000a6a
- Page: https://www.1752.vc/careers/jobs/ambience-staff-software-engineer-distributed-systems/

## About the role

Ambience processes millions of patient encounters across the nation's largest health systems. These organizations trust us with real-time clinical workflows where latency and reliability directly impact patient care. A slow response during a patient visit isn't just a bad metric; it's a physician abandoning the tool.

## What they're looking for

- 7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
- Staff-level scope: owned cross-cutting infrastructure, debugged production issues that stumped others
- 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

Tags: Engineering