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Staff Software Engineer, Distributed Systems

8 months

In short

Join Ambience Healthcare as a Staff Software Engineer to own core systems scaling and optimization for real-time clinical workflows in health systems. Focus on database, caching, multi-tenancy, rate limiting, and reliability. Hybrid role in SF office.

Pay
Not stated. Typically $150k - $200k
Level
Senior-level Β· Full-time
Ambience Healthcare
Ambience Healthcare
  • Hybrid
  • Backed by Oak HC/FT

Builds AI clinical documentation and workflow tools for health systems.

1 open role Β· usually open about 8 weeks

Responsibilities

  • Own database performance end-to-end including query optimization, indexing strategy, connection management, capacity planning
  • Design multi-tenant data patterns balancing performance and isolation tradeoffs
  • Build caching infrastructure to keep EHR API latency out of critical user paths
  • Identify and optimize hot paths across the application
  • Build instrumentation to detect performance regressions
  • Design rate limiting systems that respect EHR API limits while maintaining user experience
  • Build infrastructure for graceful degradation under load, including queue management, circuit breakers, and load shedding
  • Create dashboards and alerts for database performance, cache hits, connection pool usage, and API latency
  • Identify and harden the system against failure modes like connection exhaustion and cache stampedes

Requirements

  • 7+ years in software engineering, with 3+ focused on infrastructure, backend, or platform engineering
  • Staff-level experience owning cross-cutting infrastructure and debugging tough production issues
  • Strong backend fundamentals in Python, Go, TypeScript, or similar languages
  • Deep experience with relational databases, Postgres preferred
  • Ability to read code across the stack and trace performance issues
  • Proven track record diagnosing and solving scaling or reliability problems
  • Willingness to work hybrid, 3 days/week in San Francisco office

Work Environment

  • Hybrid role based in San Francisco office, 3 days per week onsite
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