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Full Stack Engineer, Health AI

San Francisco💼 Full-time🗓 2026-01-13 → 2026-07-31

Core

Design and build scalable fullstack systems for consumer and enterprise health products, integrating AI safety and compliance.

Role type

Senior Full Stack Engineer (Health AI)

Builds

Production AI systems for patients, clinicians, and health workers

Domain

Healthcare + AI/ML

Deliverable

production ML models | product features

Required skills

Full stack development, data pipeline engineering, system design, HIPAA compliance, debugging, optimization, high availability architecture

Preferred skills

Product engineering instincts, entrepreneurial drive, health product experience, open-source contributions, distributed systems, backend architecture

Technologies

None explicitly listed

Responsibilities

Design and build scalable fullstack systems, own end-to-end feature development, build and maintain data pipelines meeting privacy/security requirements, collaborate with researchers to integrate reliability and guardrails, debug and optimize systems for global scale

Seniority

Senior, hands-on IC

Rewrite
## 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 - Are deeply motivated by improving health outcomes and expanding access to medical expertise. - Are a strong engineer who enjoys building durable, well-designed systems. - Have 5+ years of experience writing maintainable, production-quality code. - Can operate with 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. - Are comfortable doing unglamorous but essential work when it is needed for the mission (e.g., compliance, data plumbing, reliability). - Stay goal-oriented rather than tool-oriented, choosing what works over what is fashionable. - Are thoughtful about the societal impact of AI and aligned with OpenAI’s mission to ensure AGI benefits all of humanity. ## Nice to Have - Strong product engineering instincts—able to take a rough spec and ship a polished solution. - Entrepreneurial drive or previous experience as a founder. - Prior experience with health-related products. - High-quality public code (e.g., GitHub projects, open-source contributions). - Experience building compliant or regulated products (healthcare, enterprise, finance, or similar). - Experience with distributed systems, backend architecture, or large-scale data pipelines. ## Benefits - Work on high-impact projects that shape the future of health and AI. - Collaborate with cross-functional teams including researchers, designers, and product managers. - Contribute to systems that meet the highest standards for safety, reliability, and privacy. - Opportunity to influence the responsible deployment of AI in high-stakes domains. - Be part of a mission-driven organization focused on ensuring AGI benefits all of humanity.
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