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Full Stack Engineer, Health AI

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.

293k – 325kSan Francisco, CAFullstack EngineeringOnsite5+ YOE

About the role

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.

Skills

Full StackData PipelinesHIPAADistributed SystemsBackend ArchitectureReactNode.jsPythonKubernetesAWS

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