Staff Software Engineer, Privacy

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:

Ambience handles PHI for millions of patient encounters across the nations leading health systems. That trust is earned through technical controls that actually work not policies that live in a PDF.

Youll own the systems that protect patient data: access control audit logging data retention and the compliance infrastructure that lets us operate inside the most security-conscious health systems in the country. Youll design systems that enforce least-privilege access build audit infrastructure that can withstand compliance scrutiny and create data lifecycle pipelines that honor retention obligations automatically.

Privacy engineering here isnt a checkbox exercise. Its what lets us sell and expand into demanding enterprise health systems.

Our engineering roles are hybrid in our SF office (3x/week).

What Youll Own:

• Access Control & Authorization Design and implement granular RBAC across our application. Enforce least-privilege policies and build workflows requiring users to document why theyre accessing specific PHI.

• Audit Logging & Compliance Ensure comprehensive audit logs across all application touch points where PHI is accessed. Integrate with SIEM so logs are queryable and useful for real compliance investigations not just checkbox compliance.

• Data Retention & De-identification Build infrastructure supporting per-org retention configurations across all PHI artifact types: EHR chart data transcripts audio recordings logs. Scale intelligent de-identification pipelines across multi-modal clinical data while preserving utility for downstream use cases.

Who You Are:

• 7 years in software engineering 2 focused on security privacy or compliance infrastructure

• Staff-level scope: owned cross-cutting initiatives influenced technical direction across teams

• Strong backend fundamentals in Python Go TypeScript or similar

• Built access control systems audit infrastructure or data lifecycle pipelines

• In SF 3x/week in-person

Why Here:

At most companies privacy engineering is a side quest. Here it directly enables sales and expansion into the most demanding health systems in the country. Youll own our privacy infrastructure end-to-end and set the standard for what best-in-class looks like. Small team high trust direct access to leadership. Staff engineers here shape technical direction not just execute on it.

Pay Transparency

We offer a base compensation range of approximately $250000$300000 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.

Outside of this range We still encourage you to apply. We take an individualized approach to compensation that accounts for experience scope and the life factors that matter to each candidate.

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

• 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 with matching

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.

Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp Telegram similar but fake email domains or asked to make a payment these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.

Required Experience:

Staff IC