Staff Software Engineer, Quality Engineering

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, Ambience’s 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.

As we scale our footprint across clinical settings, quality is mission-critical. We’re looking for a seasoned Quality Engineer to own end-to-end product reliability across mobile, web, EMR, and API surfaces. You’ll introduce lightweight, high-leverage testing systems and feedback loops that allow us to ship faster with greater confidence—without compromising safety in clinical workflows.

Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.

• Own and scale quality processes across the full Ambience product stack—mobile, desktop, browser extensions, EMR integrations, and APIs.

• Drive test coverage by coordinating offshore QA efforts and building automation for happy-path regression suites (Appium, XCTest, Playwright, etc).

• Integrate quality into our CI pipeline, ensuring pre-release testing takes <15 minutes and gives engineers confidence to ship.

• Cut defect rates through clear triage processes, root-cause postmortems, and proactive bug detection tooling.

• Instrument quality metrics across coverage, test flakiness, defect density, and resolution time—shared transparently via dashboards.

• Prototype high-leverage improvements across tooling and process to continually raise the bar on reliability and speed.

• Technically strong: 7+ years in QA or software engineering with experience debugging across full stacks (Swift, TypeScript, Node, Postgres, cloud infra).

• Automation-first: Experience with Appium, XCTest, Playwright, or similar testing frameworks; skilled in scripting and CI/CD pipelines (e.g., GitHub Actions).

• Builder mindset: You thrive in ambiguity and love standing up greenfield processes. You bias toward automation and high-impact tooling.

• Strong communicator: You write crisp test plans and defect reports that are consumable by both engineers and clinicians.

• Proactive partner: You run bug bash sessions, support launch readiness, and rally engineers toward long-term fixes—not just short-term patches.

• System thinker: You trace issues across codebases and workflows, looking for root causes and upstream solutions.

• Nice to Have:

  • Prior success bootstrapping or scaling QA efforts in early-stage or high-growth tech environments

  • Familiarity with healthcare workflows or regulated domains

  • Experience using AI tools or generating tests programmatically

  • Fluency in TypeScript, Swift, or relevant mobile/web development stacks

Pay Transparency
We offer a base compensation range of approximately $185,000–$235,000 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. If your expectations fall outside of this range, we still encourage you to apply—our approach to compensation considers a range of factors to ensure alignment with each candidate's unique needs and preferences.

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, quarterly retreats, unlimited PTO, and a 401(k) plan