Senior Software Engineer, Product

About the role

You will architect and deliver the core AI features that define the real-time documentation experience for clinicians across the country. You will partner closely with product and design to shape user journeys and translate complex clinical workflows into intuitive, high-performance software. This role demands extreme ownership over the full lifecycle of your initiatives, from initial discovery through production deployment and iteration. You will be a primary engineer responsible for ensuring that new capabilities are reliable, scalable, and crafted with long-term maintainability in mind. The position requires deep collaboration across teams to solve ambiguous problems that directly impact clinician efficiency and patient care. You will leverage cutting-edge AI advancements within a portfolio company backed by leading investors to build solutions that restore humanity to healthcare. Expect to move fast while maintaining the craftsmanship that a mission-critical healthcare platform demands.

Key facts

What you'll do

• Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience for clinicians.
• Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers and partners.
• Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt across the codebase.
• Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality, reliable code that reaches production.
• Move seamlessly across the stack to take projects to the finish line, utilizing solid experience in modern web technologies and cloud infrastructure such as AWS or GCP and Postgres.
• Partner with product and design teams to shape user experiences, ensuring that the end-user journey is thoughtful, efficient, and aligned with clinical workflows.
• Contribute to a culture of extreme ownership by solving hard problems, fixing issues in production, and ensuring continuity for health system partners.
• Work within an environment of high complexity, uncertainty, and ambiguity, making decisions that balance speed with long-term platform integrity.
• Act as a low-ego team player who prioritizes co-discovering the best ideas, even if they originate from other engineers or product thinkers.
• Embrace candor and positivity, fostering a supportive team environment where feedback drives continuous improvement for both product and code.
• Thrive in fast-paced settings while maintaining focus on craftsmanship, reliability, and the meaningful ROI our health system partners depend on.
• Engage with the latest advancements in AI alongside OpenAI and other portfolio company peers to continuously elevate the platform's capabilities.
• Ensure that features are built with operational excellence in mind, enabling seamless deployment and monitoring in production environments.
• Support the mission of removing administrative burden from clinicians so they can focus on delivering great care and impactful work.

Requirements

• You have a Bachelor's degree and 5+ years of experience, or equivalent.
• You have 5+ years of experience tackling challenging zero-to-one software engineering problems that have spanned multiple teams and stakeholders.
• You have a strong product instinct and consistently think about the end user experience, not just the technical implementation of features.
• You are comfortable moving across the entire technology stack to take projects to the finish line.
• You have solid experience with modern web technologies and cloud infrastructure, including platforms such as AWS or GCP, Postgres, and Docker.
• You have a demonstrated ability to own execution from initial conception through to successful production outcomes and long-term maintenance.
• You are a low-ego team player who prioritizes co-discovering the best ideas, even when they are not originally your own.
• You value being a kind, encouraging, and supportive teammate even while operating in environments with high levels of complexity, uncertainty, and ambiguity.
• You thrive in settings where you must balance speed of delivery with the need for reliability, craftsmanship, and maintainable code over time.
• You are comfortable with ambiguity and can make informed decisions when requirements are evolving during active product development.
• You communicate clearly and practice candor, enabling efficient collaboration with product, design, and other engineering partners.
• You care deeply about healthcare and the impact that technology can have on clinicians and the patients they serve.
• You are able to work in a hybrid setting, committing to 3 days in the San Francisco office per week as required by our operating model.
• You are prepared to engage with cutting-edge AI tools and workflows within an environment that values innovation and rapid iteration.

Nice to have

• Preferred experience working on products that serve the healthcare and clinical documentation space.
• Familiarity with real-time coding-aware documentation and clinical workflow support concepts.
• Experience contributing to open source or building tools that improve developer productivity in fast-paced teams.

Practical notes

• This is a full-time role based in San Francisco.
• The role requires hybrid in-office presence approximately 3 days per week.
• Compensation includes a base salary range and equity participation.
• Candidates must be able to meet the experience and educational criteria as defined in the requirements section.
• No specific visa sponsorship details are provided in this posting.
• Apply if you align with the mission of restoring humanity to healthcare through AI.