Senior Machine Learning Engineer

Strong Production AI Experience 5+ years in production ML, research engineering, or applied AI. Have built a consequential production AI system or materially improved model behavior in production. Strong understanding of modern LLMs, transformers, and production AI systems.

Deep Evaluation Experience Experienced designing evaluations for LLMs, agents, or other complex AI systems. Can turn ambiguous quality problems into measurable dimensions, datasets, and experiments. Familiar with challenges such as grader bias, leakage, misleading aggregate metrics, regression detection, and offline-online mismatch.

Agentic Systems Experience Experience building production systems involving multiple models, tools, retrieval, context, state, routing, or orchestration. Understands reliability and failure modes in complex AI workflows, not just individual model calls.

Production-Grade Software Engineer Proficient in Python and modern ML frameworks; PyTorch preferred. Comfortable with deployment, observability, CI/CD, and containerized systems. Still highly hands-on: writes code, inspects traces, analyzes failures, and debugs production systems.

Data-Centric AI Developer Skilled at building high-quality datasets and feedback loops. Experienced using production failures, user feedback, and active learning to improve model and system quality.

Effective Interdisciplinary Collaborator Able to work closely with clinicians, product managers, and fellow engineers. Strong communicator who can simplify complex AI concepts for diverse audiences. Comfortable owning ambiguous technical problems and driving them to measurable outcomes. Nice-to-Haves

Experience with realtime voice, conversational AI, or multimodal systems.

Experience with fine-tuning, post-training, or model adaptation.

Prior work in healthcare, clinical AI, or other regulated, high-stakes industries.

Experience interviewing or mentoring ML engineers.

Open-source contributions to ML, agent, or evaluation tooling.

Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to

Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.

Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.

Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.

To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include

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.

Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.

Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com . We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.

Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI .