Senior Software Engineer, Scaling AI Systems

About Abridge

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

The Role

Abridge’s services and engineering team are in hyperscale mode. We are looking for experienced software engineers to join our team and help improve the performance, stability, and scalability of our software by multiples. This is a distributed systems oriented role and is approximately 80% software focused and 20% cloud infrastructure focused.

You will help us build load testing and chaos engineering into our development cycle, leverage observability and profiling tools to identify performance bottlenecks and resolve them, work with diverse teams to help rehome their applications onto more scalable platforms, and ensure a smooth ride as we hyperscale our application adoption in the healthcare space. You may be embedded with application teams for weeks or months.

The platform we are building needs to maximize both engineering velocity and security, will be under tremendous scale, and presents many opportunities to leverage creativity, autonomy, and leadership to take things 0 to 1. This is a unique opportunity in the industry to rapidly grow your career in a rapidly growing company leveraging the best of emerging technologies.

What You'll Do

• Leverage load testing, chaos engineering, and other test practices to identify performance and latency bottlenecks across all of our systems, and make changes to application code to resolve them.
• Drive software changes that can rehome applications at the code level onto new infrastructure (run times, event driven infrastructure, databases, and more) in order to dramatically improve scalability as well as enable multi-tenant deployments.
• Identify and implement software configuration changes and performance tuning parameters that will dramatically improve performance and scalability.
• Build developer tools and software modules that help engineers build code faster and more effectively with more enablements to the entire engineering organization.
• Work with the Platform team to develop, and application teams to adopt, emerging elements of our internal developer platform, such as service templates and self-serve infrastructure.
• Work with application teams to establish and adopt SLOs and error budgets, and drive better metrics for application health that can drive automated canary releases, improved health monitoring, and better engineering practices.
• Uplevel our ability to respond to incidents by improving observability, runbooks, and incident response muscle across the organization.
• Evangelize, document, and train the engineering team on the solutions being built and uplevel them on cloud native design strategies and tools.
• Be a public evangelist for Abridge in the global platform engineering community, including conferences, open source, and research as we pioneer new AI-first cloud-native-first security-first implementations at scale.

Who You Are

• 8+ years of software engineering experience focused on distributed systems or tooling, with an interest in engineering enablement and software scaling.
• At least 2 years experience as a back-end engineer focused on system performance and scalability.
• Experience reducing latency in software by multiples through leveraging observability and profiling tools and deriving great pleasure from doing so.
• Experience building on Kubernetes and scaling compute services on Kubernetes; experience with related cloud native technologies including ArgoCD, Argo Rollouts, Istio, etc.
• Comfortable implementing and securing services in Google Cloud Platform with Infrastructure as Code, including GCP Projects, VPC Networks, Google Kubernetes Engine, and IAM Roles, Groups and policies. Candidates without GCP experience but who have experience with Kubernetes are encouraged to apply.
• Experience building software with backend languages (e.g. Python, GoLang, Node, and Rust).
• Experience monitoring distributed systems with Prometheus, OpenTelemetry Collector, and Grafana (or something similar), including metrics collection, visualization, alerting, and using observability data to drive performance optimizations.
• Passion for engineering enablement and solving software and distributed systems scaling challenges under pressure.

Must be willing to travel up to 10%

Abridge typically hosts a three-day builder team retreat every 3-6 months. These retreats often feature internal hackathons, collaborative project sessions, and social events that allow the team to connect in person.

We value people who want to learn new things, and we know that great team members might not perfectly match a job description. If you’re interested in the role but aren’t sure whether or not you’re a good fit, we’d still like to hear from you.

Why Work at Abridge?

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

How we take care of Abridgers:

• Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees
• Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.
• Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.
• Paid Parental Leave: Generous paid parental leave for all full-time employees.
• Family Forming Benefits: Resources and financial support to help you build your family.
• 401(k) Matching: Contribution matching to help invest in your future.
• Personal Device Allowance: Tax free funds for personal device usage.
• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.
• Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.
• Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.
• Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.
• Compensation and Equity: Competitive compensation and equity grants for full time employees. ... and much more!

Equal Opportunity Employer

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We provide reasonable accommodations throughout the interview process. If you need reasonable accommodation in applying, interviewing, completing any assessment or otherwise participating in the employee selection process, please contact us at accommodations@abridge.com

Staying safe - Protect yourself from recruitment fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.

Key skills/competency

• Senior Software Engineer
• Scaling AI Systems
• Distributed Systems
• Performance Optimization
• Cloud Infrastructure
• Kubernetes
• Google Cloud Platform
• Observability
• Chaos Engineering
• Backend Development