Staff Software Engineer, Quality Engineering

About Us:

Ambience Healthcare is the leading AI platform for documentation coding and clinical workflow built to reduce administrative burden and protect revenue integrity at the point of care. Trusted by top health systems across North America Ambiences platform is live across outpatient emergency and inpatient settings supporting more than 100 specialties with real-time coding-aware documentation. The platform integrates directly with Epic Oracle Cerner athenahealth and other major EHRs. Founded in 2020 by Mike Ng and Nikhil Buduma Ambience is headquartered in San Francisco and backed by Oak HC/FT Andreessen Horowitz (a16z) OpenAI Startup Fund Kleiner Perkins and other leading investors.

Join us in the endeavor of accelerating the path to safe & useful clinical super intelligence by becoming part of our community of problem solvers technologists clinicians and innovators.

The Role:

As we scale our footprint across clinical settings quality is mission-critical. Were looking for a seasoned Quality Engineer to own end-to-end product reliability across mobile web EMR and API surfaces. Youll introduce lightweight high-leverage testing systems and feedback loops that allow us to ship faster with greater confidencewithout compromising safety in clinical workflows.

Our engineering roles are hybrid working onsite at our San Francisco office three days per week.

What Youll Do:

• Own and scale quality processes across the full Ambience product stackmobile desktop browser extensions EMR integrations and APIs.

• Drive test coverage by coordinating offshore QA efforts and building automation for happy-path regression suites (Appium XCTest Playwright etc).

• Integrate quality into our CI pipeline ensuring pre-release testing takes <15 minutes and gives engineers confidence to ship.

• Cut defect rates through clear triage processes root-cause postmortems and proactive bug detection tooling.

• Instrument quality metrics across coverage test flakiness defect density and resolution timeshared transparently via dashboards.

• Prototype high-leverage improvements across tooling and process to continually raise the bar on reliability and speed.

Who You Are:

• Technically strong: 7 years in QA or software engineering with experience debugging across full stacks (Swift TypeScript Node Postgres cloud infra).

• Automation-first: Experience with Appium XCTest Playwright or similar testing frameworks; skilled in scripting and CI/CD pipelines (e.g. GitHub Actions).

• Builder mindset: You thrive in ambiguity and love standing up greenfield processes. You bias toward automation and high-impact tooling.

• Strong communicator: You write crisp test plans and defect reports that are consumable by both engineers and clinicians.

• Proactive partner: You run bug bash sessions support launch readiness and rally engineers toward long-term fixesnot just short-term patches.

• System thinker: You trace issues across codebases and workflows looking for root causes and upstream solutions.

• Nice to Have:

  • Prior success bootstrapping or scaling QA efforts in early-stage or high-growth tech environments

  • Familiarity with healthcare workflows or regulated domains

  • Experience using AI tools or generating tests programmatically

  • Fluency in TypeScript Swift or relevant mobile/web development stacks

Pay Transparency
We offer a base compensation range of approximately $185000$235000 per year exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants enabling team members to share directly in the impact they help create. If your expectations fall outside of this range we still encourage you to applyour approach to compensation considers a range of factors to ensure alignment with each candidates unique needs and preferences.

Being at Ambience:

• An opportunity to work with cutting edge AI technology on a product that dramatically improves the quality of life for healthcare providers and the quality of care they can provide to their patients

• Dedicated budget for personal development including access to world class mentors advisors and an in-house executive coach

• Work alongside a world-class diverse team that is deeply mission aligned

• Ownership over your success and the ability to significantly impact the growth of our company

• Competitive salary and equity compensation with benefits including health dental and vision coverage quarterly retreats unlimited PTO and a 401(k) plan

Ambience is committed to supporting every candidates ability to fully participate in our hiring process. If you need any accommodations during your application or interviews please reach out to our Recruiting team at . Well handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.

Required Experience:

Staff IC