Staff Engineer, Agent Productivity

San Francisco, United StatesHybrid

Responsibilities

Reduce flaky tests, improve CI failure modes, and align local validation with CI.

We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
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.
The Role: 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.
experience: devboxes, local DBs, Docker workflows, dependencies, secrets, and agent ergonomics. - Build, Test, and CI — Make feedback loops faster and more reliable.
- Agent Tool Access — Create scoped, auditable access to local DBs, browsers, GitHub, CI, logs, and docs while keeping PHI and production-data workflows controlled.
experience with Staff-level impact across teams. - Deep

benefits include - Comprehensive medical, dental, and vision coverage for you and your dependents - 401(k) with a company match of up to 3% of base salary - A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
- Parental leave to support your family needs - 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.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace.

If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com recruiting@ambiencehealth.com.
Our emails will always come from @ambiencehealthcare.com.
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About Us: Here at Ambience, we never set out to be just another scribe.
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
We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
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.