# Full Stack Engineer, Health AI

**Company:** [OpenAI](https://hotfix.jobs/companies/openai)
**Location:** San Francisco, CA
**Role:** Fullstack Engineering
**Salary:** $293k – $325k/yr
**Experience:** 5+ years
**Skills:** Full Stack, Data Pipelines, HIPAA, Distributed Systems, Backend Architecture, React, Node.js, Python, Kubernetes, AWS
**Posted:** 2026-01-13

> Full stack engineer building scalable health AI systems for consumers and providers, owning end-to-end development with focus on privacy, HIPAA compliance, and global scale. Requires 5+ years experience and high agency in fast-paced teams.

## Job Description

## Responsibilities
- Design and build scalable fullstack systems for consumer and enterprise health.
- Own end-to-end feature development—from early design and implementation through deployment, monitoring, and iteration.
- Build and maintain data pipelines and services that meet strict privacy, security, and compliance requirements (e.g., HIPAA).
- Collaborate closely with researchers and safety teams to integrate reliability, evaluation, and guardrails into production systems.
- Debug, optimize, and harden systems to support high availability, performance, and global scale.
- Take ownership of ambiguous problems and drive them to practical, high-quality solutions.

## Requirements
- Deeply motivated by improving health outcomes and expanding access to medical expertise.
- Strong engineer who enjoys building durable, well-designed systems.
- **5+ years of experience** writing maintainable, production-quality code.
- High agency—owning problems end-to-end with minimal supervision.
- Enjoy working in fast-moving, cross-functional teams with engineers, product managers, designers, and researchers.
- Comfortable doing unglamorous but essential work (e.g., compliance, data plumbing, reliability).
- Goal-oriented rather than tool-oriented.
- Thoughtful about AI's societal impact and aligned with OpenAI’s mission.

## Nice-to-Haves
- Strong product engineering instincts.
- Entrepreneurial drive or founder experience.
- Prior experience with health-related products.
- High-quality public code (e.g., GitHub, open-source).
- Experience building compliant or regulated products (healthcare, enterprise, finance).
- Experience with distributed systems, backend architecture, or large-scale data pipelines.

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**Canonical:** https://hotfix.jobs/jobs/70bc2529-fb6a-4629-915f-5200e8b0d1fa