Ambience Healthcare

Staff ML Engineer, Frontier AI

Ambience Healthcare
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6 months ago

Base Salary

$250k - $350k/yr

Responsibilities

  • Own foundational model research for medical coding, adaptive scribing, chart understanding, and related clinical AI problems.
  • Identify failure modes, form hypotheses, make architecture decisions, and drive end-to-end model-quality improvements.
  • Design compounding learning loops using clinician edits, coder corrections, and audit outcomes.
  • Improve Chart Chat grounding, retrieval, and reasoning across complex longitudinal patient records.
  • Optimize model capability, latency, accuracy, and cost using routing, distillation, speculative decoding, and quantization.
  • Contribute to population-level clinical reasoning across patient populations at scale.
  • Track advances in reinforcement learning, deep learning, and clinical NLP and turn research insights into experiments and product improvements.

Requirements

  • At least 5 years of ML engineering or applied research experience with a strong record of shipping production model improvements.
  • Deep expertise in reinforcement learning and deep learning.
  • Experience spanning research and engineering, including architecture decisions, training runs, fine-tuning pipelines, and production deployment.
  • Experience with preference learning, RLHF, retrieval-augmented generation, or multi-label classification.
  • Strong Python fundamentals and experience with deep learning frameworks, preferably PyTorch.
  • Evidence of driving model-quality improvements end to end, from identifying failure modes through shipping and measuring fixes.
  • Experience operating at the frontier of a difficult technical problem rather than only applying standard techniques.
  • Staff-level scope, including ownership of research directions and influence on technical decisions across teams.
  • Passion for healthcare or other high-stakes, mission-driven industries.
  • Preferred: publications at venues such as NeurIPS, ICML, ICLR, ACL, or EMNLP.
  • Preferred: clinical data experience, including EHR systems, FHIR, medical coding ontologies, or clinical NLP.
  • Preferred: prior healthcare AI or regulated-domain experience and open-source contributions to ML libraries, benchmarks, or evaluation frameworks.

Benefits

  • Comprehensive medical, dental, and vision coverage for employees and dependents.
  • 401(k) with company matching of up to 3% of base salary.
  • Hybrid engineering schedule with onsite work at the San Francisco office three days per week, alongside a remote-friendly culture.
  • Full equipment provisioning.
  • Parental leave.
  • Annual company-wide and team off-sites, 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 through January 1.

Tech Stack

Categories

AI ResearchML Engineering
Ambience Healthcare

About Ambience Healthcare

201-500 employees

Ambience Healthcare builds an AI platform for clinical documentation, medical scribing, and coding that reduces administrative work for clinicians in outpatient, emergency, and inpatient settings. It sells enterprise software to health systems and clinics, with real-time, coding‑aware notes and patient summaries that integrate with Epic, Oracle Cerner, athenahealth, and other EHRs. Founded in 2020 and headquartered in San Francisco, it supports 100+ specialties across North America.

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