Staff Software Engineer, Distributed Systems

Job summary

Responsibilities

Ambience processes millions of patient encounters across the nation's largest health systems. These organizations trust us with real-time clinical workflows where latency and reliability directly impact patient care.

• Database Architecture & Scaling — Own database performance end-to-end: query optimization, indexing strategy, connection management, capacity planning.
• Caching & Latency Optimization — Build caching infrastructure that keeps EHR API latency out of critical user paths. Identify and optimize hot paths across the application.
• Rate Limiting — Design systems that respect EHR API rate limits while maintaining user experience. Build infrastructure that degrades gracefully under load: queue management…
• Reliability & Observability — Dashboards and alerting for database performance, cache hit rates, connection pool utilization, API latency by customer.

What they're looking for

• 7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
• Staff-level scope: owned cross-cutting infrastructure, debugged production issues that stumped others
• Strong backend fundamentals in Python, Go, TypeScript, or similar
• Deep experience with relational databases (Postgres preferred)
• Comfort reading code across the stack to trace performance issues

Tech stack

• Python
• Go
• TypeScript
• PostgreSQL