Senior Cloud Infrastructure Engineer

Ambience Healthcare

Ambience Healthcare

Other Engineering
San Francisco, CA, USA
Posted on Wednesday, May 1, 2024

We are a hybrid, remote-friendly culture, with our company headquarters based in San Francisco. Candidates anywhere in the US are encouraged to apply.

About Us:

Ambience Healthcare is building the AI operating system for healthcare, with the mission of supercharging healthcare workers with AI superpowers.

Over the past several years, healthcare organizations and health systems have been approaching a critical turning point: workforce shortages and clinician burnout are at an all-time high, cutting into already-razor-thin margins and posing critical operational challenges. Organizations are finding themselves under immense pressure to address burnout and increase access to care, all while maintaining profitability despite declining reimbursement rates.

Until now, they have been unable to find any viable solutions to this productivity and morale crisis.

Ambience Healthcare was founded after 2.5 years of R&D in large language model (LLM) technology to address one of the most impactful productivity opportunities in healthcare: clinical documentation. The most painful part of a clinician’s day consists of hours of late-night administrative work, writing detailed documentation in the medical record for each of their visits. The contents of each medical note are critical for reimbursement, compliance, downstream clinical quality measures, and for other care team members to understand what happened to each patient.

Ambience's flagship product, Ambience AutoScribe, is a best-in-class AI medical scribe that captures the nuances of clinician-patient conversation in real-time into comprehensive medical documentation within the EMR. On average, Ambience saves 16+ hours of tedious note-taking per clinician per week. Today, AutoScribe is available across 18+ specialties and is used by clinicians at leading healthcare organizations for every single one of their shifts.

For the first time in years, clinicians are able to get home on time for dinner without any documentation homework. And as a result, they now refuse to practice without AutoScribe.

As we experience unprecedented pull from the market for our products, we’re actively expanding our team of world-class talent across sales, marketing, product, engineering, clinical, and customer success functions.

At Ambience, you’ll be surrounded by an exceptional team of A-players who are kind, humble, curious, and deeply aligned with the core mission of improving the lives of clinicians and their patients, including:

  • 2nd-time founders in healthcare who previously built a virtual care platform
  • the author of a leading deep learning textbook
  • co-founder of Cruise’s ML platform team
  • co-founder of’s automated speech recognition team
  • Former principal architect at Palantir
  • Founder of Reddit's web platform team
  • former Head of Growth from a leading tech-enabled primary care group

What You'll Do

As a Cloud Infrastructure Engineer, you will play a crucial role in scaling our application for growth and reliability. You will work closely with engineering, product, and security to support expanding and new business segments.

You can expect to:

  • Lead DevOps and Infrastructure for a growing engineering and product team to ensure the speed and reliability of changes and incident response.
  • Collaborate across engineering to design infrastructure that supports healthcare and security compliance frameworks including HIPAA, SOC2, and FedRAMP.
  • Scale infrastructure for a growing product by making key architectural decisions on technology choices, platforms, and resourcing.
  • Own system observability and analysis to support company-wide goals on responsiveness and reporting

What We Value

  • A demonstrated history of impactful projects, with a strong portfolio of work that showcases skills across different technologies.
  • A collaborative mindset, with excellent communication skills and the ability to work effectively with team members across different disciplines.
  • A proactive approach to identifying and solving problems, with a focus on continuous improvement and innovation.
  • A commitment to enabling business impact, through various avenues such as developer enablement, metrics-driven infrastructure, and thoughtful project design.


  • Strong proficiency in AWS or Azure infrastructure, with a willingness to learn and adapt to new technologies as needed.
  • 3+ years of experience in designing, building, and maintaining container infrastructure, with a proven track record of success.
  • Willingness to commute to our San Francisco office 3x per week and travel 4x per year for team offsites and clinician shadowing sessions.
  • A passion for healthcare technology and a desire to contribute to a mission-driven organization.


  • Strong experience in designing, building, and maintaining Kubernetes infrastructure, with a proven track record of success.
  • Experience working in high-ambiguity environments, such as startups or innovative projects within larger organizations.
  • Flexibility to work across the stack, with the ability to take on DevOps and backend tasks as needed.


Competitive salary range of 180-225k, commensurate with experience, along with a meaningful equity package.

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, paid maternity/paternity leave, quarterly retreats, unlimited PTO, and a 401(k) plan

We’re fortunate to be backed by:

  • Top-tier venture firms: Andreessen Horowitz and Kleiner Perkins
  • The best minds in AI: OpenAI Startup Fund, Jeff Dean, Richard Socher, Pieter Abbeel, AIX Ventures, and others
  • Healthcare industry leaders: Optum Ventures, Martin Ventures, the Frist family, Randy Parker, Anne Wojcicki, Jay Desai, Nish Bhat, Eren Bali, and others