Staff Software Engineer, Distributed Systems
Ambience Healthcare8 months ago
Base Salary
$250k - $300k/yr
Responsibilities
- Own database performance end-to-end, including query optimization, indexing strategy, connection management, capacity planning, and multi-tenant data patterns.
- Build caching infrastructure to keep EHR API latency out of critical user paths and optimize application hot paths.
- Create instrumentation to detect performance regressions before they affect users.
- Design rate-limiting systems that respect EHR API limits while maintaining user experience.
- Build queue management, circuit breakers, and load-shedding infrastructure for graceful degradation under load.
- Create dashboards and alerting for database performance, cache hit rates, connection pool utilization, and customer-specific API latency.
- Identify and harden systems against connection exhaustion, cache stampedes, thundering herds, and other failure modes.
Requirements
- 7+ years of software engineering experience, including 3+ years focused on infrastructure, backend systems, or platform engineering.
- Staff-level experience owning cross-cutting infrastructure and diagnosing difficult production issues.
- Strong backend fundamentals in Python, Go, TypeScript, or similar technologies.
- Deep experience with relational databases, with Postgres preferred.
- Ability to read code across the stack to trace performance issues.
- Track record of diagnosing and solving scaling or reliability problems.
- Ability to work in San Francisco three days per week.
Benefits
- Hybrid work in the San Francisco office three days per week, with a remote-friendly culture and full equipment provisioning.
- Comprehensive medical, dental, and vision coverage for employees and dependents.
- 401(k) with company match of up to 3% of base salary.
- 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
About Ambience Healthcare
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.