Staff Engineer, Agent Productivity

About the 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 Kleiner Perkins - and we're just getting started. Ambience is building AI systems that help clinicians deliver better care. To do that well, our engineers - and the AI agents working alongside them - need fast, reliable, low-friction systems for building, testing, verifying, and shipping software. You'll own the developer-productivity substrate for Ambience: dev environments, build/test workflows, CI, internal tooling, repo standards, verification systems, and safe tool access for agent-assisted development. The core idea: the same infrastructure that makes engineers effective also makes agents useful. Fast local stacks, deterministic tests, clear repo context, and repeatable verification loops turn agents from code generators into force multipliers. Our engineering roles are hybrid in our SF office, 3x/week.