Ambience Healthcare
Staff Software Engineer, Distributed Systems
$226K–$283K
San Francisco · Staff · Full-time · Posted Feb 2, 2026
- Experience
- 7+ years in software engineering; 3+ focused on infrastructure, backend systems, or platform engineering.
About the job
Own and scale the database, caching, multi-tenant, and reliability infrastructure that supports Ambience’s real-time clinical workflows.
What you'll do
- Design and optimize database architecture, including query performance, indexing, connection management, and multi-tenant data patterns.
- Build caching, rate-limiting, and latency-management systems for EHR integrations and critical user paths.
- Improve reliability and observability with instrumentation, dashboards, alerting, and failure-mode hardening.
What they ask for
- 7+ years in software engineering, including 3+ focused on infrastructure, backend systems, or platform engineering.
- Strong backend fundamentals in Python, Go, TypeScript, or similar.
- Deep experience with relational databases.
- Track record of diagnosing and solving scaling or reliability problems.
Nice to have
- Postgres experience.
Pay
$226K – $283K (base salary)
Tools
Python, Go, TypeScript, Postgres
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