Senior Fullstack Engineer (Ambient AI)
About The Position
Our client is building AI-native healthcare infrastructure designed to simplify clinical workflows and eliminate administrative burden across healthcare systems. Their platform powers hundreds of care sites, supports over 500,000 clinicians, and processes billions in healthcare transactions annually. This is an opportunity to join one of the fastest-scaling healthcare AI companies and work on their Ambient AI product — helping clinicians reclaim hours lost to documentation through real-time transcription, clinical note generation, and intelligent workflow automation. You’ll join a high-growth engineering team solving deeply technical challenges at the intersection of distributed systems, real-time AI processing, and healthcare infrastructure.
Requirements
- 5–10 years of full-stack engineering experience
- Experience at fast-growing startup or reputable scale-up environments
- Strong backend engineering fundamentals with full-stack ownership capability
- Experience shipping customer-facing production systems at scale
- Strong proficiency in Python or Go
- Strong frontend experience with TypeScript and React
- Experience with distributed systems and cloud infrastructure
- Hands-on system design experience
- Experience collaborating directly with customers and stakeholders
- Ability to own initiatives from ideation through production
Nice To Haves
- Experience in regulated industries (healthcare, fintech, insurance)
- Experience building note-taking, transcription, or workflow automation products
- Experience with real-time systems or streaming architectures
- AWS / Docker / Kubernetes experience
- Cross-platform product experience
- Track record of scaling systems through high-growth phases
- Technical leadership or mentorship experience
- Strong startup adaptability
- Top-tier technical education
- Thrives in ambiguity and high-velocity engineering environments
- Strong product ownership mindset
- Customer empathy and user-centric engineering approach
- Ability to move quickly without sacrificing quality
- Comfortable shipping frequently
- Bias for action
- Strong communication across technical and non-technical teams
- Genuine interest in healthcare transformation
Responsibilities
- Design and influence scalable full-stack architecture for AI-powered healthcare workflows
- Build across the stack using Python, Go, TypeScript, and React
- Ship production features for ambient clinical documentation systems
- Work on real-time transcription reliability and large-scale note generation workflows
- Build integrations with clinical systems and EHR infrastructure
- Lead technical planning for high-impact product initiatives
- Drive system design decisions balancing scale, reliability, and usability
- Partner cross-functionally with product, design, and clinical stakeholders
- Work directly with customers to solve product issues and improve workflows
- Mentor engineers and raise engineering quality standards
- Contribute to deployment, testing, observability, and production excellence
- Operate effectively in a fast-moving, ambiguity-heavy startup environment
Benefits
- Competitive equity
- Hybrid flexibility (3 days onsite)
- Remote option in New York
- Visa sponsorship support
- Clear growth trajectory in a rapidly scaling engineering org
- High-impact ownership
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
