Software Engineer, GenAI

Abridge•San Francisco, CA

1d•Hybrid

About The Position

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients. Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems. We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh. We are looking for passionate GenAI Engineers of all levels who are passionate about making a positive impact. You’ll collaborate closely with a cross-functional team of researchers, clinicians, and engineers to translate cutting-edge language model capabilities into dependable, real-world clinical systems. Your focus will be on designing advanced LLM-driven workflows that can reason through complex clinical contexts, leverage agentic capabilities and structured tool use, navigate branching chains of LLM calls, integrate seamlessly with retrieval systems, and consistently generate outputs that meet the highest standards of clinical reliability and trust. A major part of this role will involve developing and applying rigorous evaluation frameworks (both automated and human-in-the-loop) to continuously assess accuracy, robustness, multilingual capabilities, and more. This is an opportunity to design experiments to probe failure modes, simulate edge cases, and stress-test LLM workflows under realistic load and challenging real-world conditions. You’ll apply a disciplined, data-driven approach to understanding model behavior—developing tools to measure system performance, conduct A/B tests against established baselines, and generate clear, actionable insights that inform deployment decisions. This high impact role will own the end-to-end productionization of LLM workflows: deploying models into low-latency, high-uptime environments, building monitoring and observability systems, implementing post-processing guardrails, and managing workflow versioning.

Requirements

3+ years of experience building production-grade systems, with 1–2+ years focused on GenAI or LLM-powered products.
Deep fluency with LLM APIs, prompting strategies, and orchestration patterns (e.g., LangChain, LlamaIndex, custom pipelines).
Experience with retrieval systems (e.g., semantic and lexical retrieval, vector DBs, efficient kNN), function calling, tool-use, or agentic workflows.
Working knowledge of model evaluation, experience building diverse datasets, conducting both automated and human-in-the-loop evaluations, running A/B tests, and working with subject matter experts to guide model improvement.
Strong Python fundamentals—including ability to write clean code, design comprehensive test-cases, and familiarity with core language features and standard libraries; experience with async programming, performance profiling, packaging, and deployment tooling is strongly preferred.
Good taste and intuition: You know when to move fast, ship, and iterate and also when to take a beat to tackle tech debt.
Must be willing to work from our SF office at least 3x per week
This position requires a commitment to a hybrid work model, with the expectation of coming into the office a minimum of (3) three times per week. Relocation assistance is available for candidates willing to move to San Francisco.

Responsibilities

Design and build GenAI systems that turn LLMs into composable, dependable tools—leveraging retrieval, tool use, agentic reasoning, and structured outputs.
Collaborate with ML and infra engineers to scale and optimize GenAI workflows, managing latency, context windows, and model choice.
Write high-quality, modular code that’s graceful under failure, flexible to change, and easy to iterate on.
Own major architectural decisions—how we architect workflows,define data flow, cache intermediate state, and structure generative outputs.
Drive rigorous evaluation: build benchmark datasets, develop automated and human-in-the-loop frameworks, design experiments to surface failure modes and edge cases, run A/B tests to inform deployment, and distill insights from clinician feedback to evaluate and guide model improvement.
Leverage frontier capabilities: rapidly prototype with new models and model capabilities, open-source tools, and novel prompting techniques.

Benefits

Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.
Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.
Paid Parental Leave: Generous paid parental leave for all full-time employees.
Family Forming Benefits: Resources and financial support to help you build your family.
401(k) Matching: Contribution matching to help invest in your future.
Personal Device Allowance: Tax free funds for personal device usage.
Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.
Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.
Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.
Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.
Compensation and Equity: Competitive compensation and equity grants for full time employees.