Backend Engineer, Temporal

Abridge
San Francisco, CA

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.

The Role

Our generative AI-powered products are bringing joy back to the practice of medicine, and we’re looking for experienced backend software engineers to join our growing US-based engineering team. You’ll be an inaugural member of a new team forming to build the data + processing foundations we need to support our continued growth. You’ll work primarily in Typescript and Node, and you’ll deploy on platforms like Kubernetes and Temporal.

What You'll Do

  • Design, build, and support the robust cloud-native applications, services, and APIs we need for our rapidly-growing business. Sample projects might include building a new processing pipeline or overhauling our data storage services to support increasing scale.

  • Research commercial and open-source solutions, and make build vs buy recommendations to bring new capabilities into the technology organization.

  • Enhance existing systems to add new functionality, and to improve performance, stability, quality, and security. Make quality-of-life improvements to the codebase, and help limit the growth of technical debt.

  • Build deep user empathy and maintain a user-centric mindset

  • Communicate regularly and effectively within and on behalf of our cross-functional product delivery teams. You’ll work with other disciplines including product, machine learning, and platform engineering, and will have opportunities to learn from and contribute to projects across the company.

What You’ll Bring

  • 7+ years of software engineering experience, with several years of experience building and scaling cloud-native systems at a scale-up. You’ve seen what works, and probably a few things that didn’t work. Your opinions are grounded in experience.

  • Experience building and deploying a complex backend system utilizing Temporal

  • Passion for engineering excellence, and a love for data and architecture

  • Several years of experience building software for a regulated environment, and understand the tradeoffs that can be required to ensure compliance with regulations and frameworks such as HIPAA, SOC 2, and HITRUST

  • Knowledge of industry best-practices and trends, and an enjoyment of learning new things

  • Willing to pitch in wherever needed - as a fast-moving startup we need to do good work, quickly

  • Strong plus for ability and desire to work in San Francisco or New York on a hybrid working basis

Base Salary: $185,000 USD - $265,000+ USD per year + Equity

The salary range provided is based on transparent pay guidelines and is an estimate for candidates residing in the San Francisco and New York City metro areas. The actual base salary will vary depending on the candidate's location, relevant experience, skills, qualifications, and other job-related factors. Additionally, this role may include the opportunity to participate in a company stock option plan as part of the total compensation package.

Must be willing to work from our SF or NY office at least 3x per week

This position requires a commitment to a hybrid work model, with the expectation of coming into the office a minimum of (3) three times per week. Relocation assistance is available for candidates willing to move to San Francisco or New York.

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?

  • Be a part of a trailblazing, mission-driven organization that is powering deeper understanding in healthcare through AI!

  • Opportunity to work and grow with talented individuals and have ownership and impact at a high-growth startup.

  • Flexible/Unlimited PTO — Salaried team members can take off as much approved time off as they need, plus 13 paid holidays

  • Equity — For all salaried team members

  • Medical insurance — We pay 100% of the premium for you + 75% for dependents. 3 Aetna plans to choose from.

  • Dental & Vision insurance — We pay 100% of the premium for you + 75% for dependents. 2 Aetna plans to choose from.

  • Flexible Spending (FSA) & Health Savings (HSA) Accounts

  • Learning and Development budget — $3,000 per year for coaching, courses, workshops, conferences, etc.

  • 401k Plan — Contribute pre-tax dollars toward retirement savings.

  • Paid Parental Leave — 16 weeks paid parental leave, for all full-time employees

  • Flexible working hours — We care more about what you accomplish than what specific hours you’re working.

  • Home Office Budget — We provide up to $1,600 in a one-time reimbursement to set up your home office.

  • Sabbatical Leave — 30 days of paid Sabbatical Leave after 5 years of employment.

  • ...Plus much more!

Life at Abridge

At Abridge, we’re driven by our mission to bring understanding and follow-through to every medical conversation. Our culture is founded on doing things the “inverse” way in a legacy system—focusing on patients, instead of the system; focusing on outcomes, instead of billing; and focusing on the end-user experience, instead of a hospital administrator's mandate.

Abridgers are engineers, scientists, designers, and health policy experts from a diverse set of backgrounds—an experiment in alchemy that helps us transform an industry dominated by EHRs and enterprise into a consumer-driven experience, one recording at a time. We believe in strong ideas, loosely held, and place a high premium on a growth mindset. We push each other to grow and expose each other to the latest in our respective fields. Whether it’s holding a PhD-level deep dive into understanding fairness and underlying bias in machine learning models, debating the merits of a Scandinavian design philosophy in our UI/UX, or writing responses for Medicare rules to influence U.S. health policy, we prioritize sharing our findings across the team and helping each other be successful.

Diversity & Inclusion

Abridge is an equal opportunity employer. Diversity and inclusion is at the core of what we do. We actively welcome applicants from all backgrounds (including but not limited to race, gender, educational background, and sexual orientation).

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.

Posted 2025-08-20

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