Staff Engineer, Agent Productivity

Ambience Healthcare • San Francisco, CA

21h • Hybrid

About The Position

Ambience is building AI systems that help clinicians deliver better care. To do that well, our engineers — and the AI agents working alongside them — need fast, reliable, low-friction systems for building, testing, verifying, and shipping software.
You'll own the developer-productivity substrate for Ambience: dev environments, build/test workflows, CI, internal tooling, repo standards, verification systems, and safe tool access for agent-assisted development.
The core idea: the same infrastructure that makes engineers effective also makes agents useful. Fast local stacks, deterministic tests, clear repo context, and repeatable verification loops turn agents from code generators into force multipliers.
Our engineering roles are hybrid in our SF office, 3x/week.

Requirements

• 7+ years of software engineering experience with Staff-level impact across teams.
• Deep experience building developer productivity, platform, CI, test, or internal tooling systems that engineers adopted.
• Strong backend/platform fundamentals in TypeScript, Rust, Go, Python, or similar.
• Daily user of Claude Code, Cursor, Codex, or equivalent on real production codebases.
• Clear opinions on where agents help, where they fail, and what infrastructure makes them reliable.
• Sound security judgment — can translate risk into practical controls without freezing progress.
• Willing to work from our San Francisco office 3x/week.

Responsibilities

• Own the local dev experience: devboxes, local DBs, Docker workflows, dependencies, secrets, and agent ergonomics.
• Make feedback loops faster and more reliable. Reduce flaky tests, improve CI failure modes, and align local validation with CI.
• Build reusable checks for high-risk workflows: frontend flows, migrations, schema changes, integration paths, API contracts, and structured evidence that lets reviewers trust agent-generated code.
• Replace bespoke scripts and tribal knowledge with paved-road workflows: CLIs, scaffolds, templates, codegen, migration helpers, and release utilities that make the right workflow the default.
• Create scoped, auditable access to local DBs, browsers, GitHub, CI, logs, and docs while keeping PHI and production-data workflows controlled.

Benefits

• Comprehensive medical, dental, and vision coverage for you and your dependents
• 401(k) with a company match of up to 3% of base salary
• A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
• Parental leave to support your family needs
• Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
• Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed