Software Engineer, Healthcare

OpenAI; San Francisco (CA); On-site; USD 140,000 - 180,000; Full time

Job summary

OpenAI in San Francisco is seeking backend and full-stack engineers to build the systems powering our healthcare products, connecting AI capabilities with clinical workflows and enterprise data.

You will design backend services, APIs, and data pipelines, tackle security and privacy requirements, and own features from architecture through deployment in a regulated healthcare context.

Qualifications

• 5+ years of experience writing maintainable, production-quality software.
• Strong backend or full-stack experience building durable production systems.
• Experience with backend services, APIs, data systems, or distributed systems.
• Ability to reason about architecture, data models, authentication, and integration boundaries.
• Experience owning production systems at scale, including observability, testing, incident response, migrations, and rollout.
• Ability to move between product requirements and technical architecture without losing ownership.
• Operate with high agency and comfort taking ambiguous problems from definition through production.
• Enjoy working directly with cross-functional partners and customers to understand complex workflows.
• Care deeply about reliability, privacy, security, and correctness.
• Motivated to improve healthcare through AI.

Responsibilities

• Design and build backend and full-stack systems powering OpenAI’s healthcare products.
• Build services, APIs, and data pipelines that connect OpenAI products with healthcare systems and enterprise data.
• Develop integrations with electronic health records and other healthcare data sources.
• Design systems that meet privacy, security, permissions, compliance, and data governance requirements.
• Own features and systems from early architecture and implementation through deployment, monitoring, and iteration.
• Build reliable systems capable of handling complex data flows and evolving integration requirements.
• Partner with product, research, security, privacy, GTM, and healthcare organizations to translate workflows into scalable products.
• Improve reliability, performance, observability, and operational maturity of production healthcare systems.
• Take ownership of ambiguous technical problems and drive them toward practical solutions.

Skills

Backend

Full-stack

APIs

Data systems

Distributed systems

Security & privacy

Job description

About the Team

OpenAI’s Healthcare team is working to ensure that advances in AI meaningfully improve health for everyone. We build AI systems that support patients, clinicians, and healthcare organizations while setting a high standard for deploying AI responsibly in a high-stakes domain.

On the Healthcare team, we are building products and infrastructure that bring OpenAI’s capabilities into healthcare organizations and clinical workflows. We serve health care systems, insurance companies, and the broad range of healthcare IT companies. Our products include connecting ChatGPT with healthcare data and systems and building reliable enterprise experiences that can operate within complex security, privacy, compliance, and interoperability requirements.

We work closely with product, research, design, security, privacy, GTM, and our healthcare customers to turn powerful AI capabilities into dependable products that clinicians and healthcare organizations use in their everyday work.

About the Role

We are looking for backend and full-stack software engineers to build the systems behind OpenAI’s healthcare products.

You will work across backend services, APIs, data systems, integrations, and product surfaces to connect AI with healthcare workflows and enterprise data. You’ll tackle the technical challenges involved in making these systems secure, reliable, observable, and scalable enough for real-world healthcare environments.

This is a product-engineering role for someone who can move between customer problems and complex system architecture, and who is comfortable owning ambiguous problems end-to-end.

In this role, you will:

• Design and build backend and full-stack systems powering OpenAI’s healthcare products.
• Build services, APIs, and data pipelines that connect OpenAI products with healthcare systems and enterprise data.
• Develop integrations with electronic health records and other healthcare data sources.
• Design systems that meet demanding requirements around privacy, security, permissions, compliance, and data governance.
• Own features and systems from early architecture and implementation through deployment, monitoring, and iteration.
• Build reliable systems capable of handling complex data flows, partial failures, and evolving integration requirements.
• Partner closely with product, research, security, privacy, GTM, and healthcare organizations to translate real-world workflows into scalable products.
• Improve the reliability, performance, observability, and operational maturity of production healthcare systems.
• Take ownership of ambiguous technical problems and drive them toward practical, durable solutions.

You might thrive in this role if you:

• Are a strong backend or full-stack engineer who enjoys building durable production systems.
• Have 5+ years of experience writing maintainable, production-quality software.
• Have strong experience with backend services, APIs, data systems, or distributed systems.
• Are comfortable reasoning about system architecture, data models, authentication, permissions, and integration boundaries.
• Have experience owning production systems at scale, including observability, testing, incident response, migrations, and rollout.
• Can move between product requirements and technical architecture without losing ownership of either.
• Operate with high agency and are comfortable taking ambiguous problems from definition through production.
• Enjoy working directly with cross-functional partners and customers to understand complex workflows.
• Care deeply about reliability, privacy, security, and correctness.
• Are motivated by the opportunity to improve healthcare through AI.

Nice to have:

• Experience building enterprise SaaS products or platforms.
• Experience with distributed systems, backend architecture, or large-scale data pipelines.
• Experience building integrations with complex third-party systems or APIs.
• Experience with authentication, identity, permissions, or enterprise security.
• Experience working in regulated industries such as healthcare, finance, or enterprise infrastructure.
• Experience with healthcare interoperability, EHR systems, or healthcare data standards.
• Experience building HIPAA-compliant products or systems.
• Experience building applied AI or conversational products.
• Previous experience in healthcare or health technology.

About OpenAI

OpenAI is an AI research and deployment company dedicated to ensuring that general-purpose artificial intelligence benefits all of humanity. We push the boundaries of the capabilities of AI systems and seek to safely deploy them to the world through our products. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we must encompass and value the many different perspectives, voices, and experiences that form the full spectrum of humanity.

We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or other applicable legally protected characteristic.

For additional information, please see OpenAI’s Affiotive Action and Equal Employment Opportunity Policy Statement

Background checks for applicants will be administered in accordance with applicable law, and qualified applicants with arrest or conviction records will be considered for employment consistent with those laws, including the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the California Fair Chance Act, for US-based candidates. For unincorporated Los Angeles County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: protect computer hardware entrusted to you from theft, loss or damage; return all computer hardware in your possession (including the data contained therein) upon termination of employment or end of assignment; and maintain the confidentiality of proprietary, confidential, and non-public information. In addition, job duties require access to secure and protected information technology systems and related data security obligations.

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