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Software Engineer, Healthcare

openai

Híbrido San Francisco
Development

Job Score

90 pts
Hybrid model (+80) Development (+10)

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 Affirmative 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.

To notify OpenAI that you believe this job posting is non-compliant, please submit a report through this form. No response will be provided to inquiries unrelated to job posting compliance.

We are committed to providing reasonable accommodations to applicants with disabilities, and requests can be made via this link.

OpenAI Global Applicant Privacy Policy

At OpenAI, we believe artificial intelligence has the potential to help people solve immense global challenges, and we want the upside of AI to be widely shared. Join us in shaping the future of technology.

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About Software Development

Software Development is one of the most dynamic and constantly evolving fields in the job market. Professionals in this area are responsible for creating, maintaining, and optimizing web, mobile, and desktop applications that impact millions of users daily.

Key languages and frameworks include JavaScript (React, Node.js, Vue.js), Python (Django, Flask), Java (Spring), PHP (Laravel), and TypeScript. Demand for full-stack developers continues to grow, especially in tech companies and startups.

Salaries range from entry-level to senior positions, with growing opportunities for remote work and international freelancing.

Discover Other Areas

Understand the scope of work, key skills, and tools used in different career areas.

About Traffic Manager

The Traffic Manager is the professional responsible for planning, executing, and optimizing paid media campaigns across various digital platforms. With the competitiveness of the digital market, paid traffic professionals are essential for generating qualified leads and maximizing return on advertising investment.

Key skills include campaign management on Google Ads, Meta Ads, LinkedIn Ads, and TikTok Ads, media planning, metrics analysis (ROAS, CPA, CPC, CTR), A/B testing, remarketing, and landing page creation. Tools like Google Analytics, Google Tag Manager, Hotjar, and automation platforms are essential.

Traffic managers in technology companies are highly valued, especially those who master performance marketing, conversion funnel optimization, and scaling strategies. The field offers opportunities from media analyst to head of performance, with a focus on growth, budget efficiency, and return on investment.

About Customer Success

Customer Success is the area responsible for ensuring clients achieve their goals when using the product or service. It is a strategic function for retention, expansion, and customer satisfaction.

Key skills include account management, churn analysis, NPS, onboarding, upsell, and cross-sell. Knowledge of CS tools like Gainsight, Totango, and ChurnZero is a differentiator.

CS is becoming increasingly strategic in SaaS companies, with professionals directly contributing to recurring revenue growth (MRR/ARR).

About Fullstack

Fullstack developers are versatile professionals capable of working on both frontend and backend of web and mobile applications. They master multiple technologies and can build complete products end-to-end, from the user interface to server infrastructure.

Key skills include proficiency in at least one complete stack (React/Vue/Angular + Node.js/PHP/Python/Java), databases (SQL and NoSQL), REST/GraphQL APIs, Git versioning, CI/CD, and basic infrastructure knowledge (Docker, cloud). Clean architecture, DDD, and testing are important differentiators.

Fullstack developers are highly valued in startups and companies that need versatile and autonomous professionals. The field offers opportunities from junior developer to software architect, with a focus on complete delivery, holistic product vision, and ability to work across multiple application layers.

About Account Manager

The Account Manager is the professional responsible for managing and expanding the relationship with clients after the sale. They act as a strategic partner, ensuring satisfaction, retention, and account growth, connecting client needs with company solutions.

Key skills include relationship management, negotiation, upsell and cross-sell, contract renewal, account planning, business reviews, metrics analysis (NPS, churn, LTV), and CRM knowledge (Salesforce, HubSpot). Communication, empathy, and business vision are fundamental differentiators.

Account Managers in technology and SaaS companies are highly valued, especially those who can increase recurring revenue (MRR/ARR) through account expansion and churn prevention. The field offers opportunities from account executive to director of accounts, with a focus on strategic relationship, revenue growth, and customer success.

About Customer Service

The Customer Service / Client Relations area is essential for ensuring customer satisfaction, retention, and a good relationship. Professionals in this field are the primary interface for communication, handling inquiries, requests, feedback, and ensuring a high-quality day-to-day experience. Skills in communication, problem-solving, empathy, and patience are indispensable.

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Data Career Guide

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Product Career Guide

Product Management, Product Ownership, Agile, Scrum, and OKRs. From strategy to execution.

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Tech & Remote Glossary

Stop getting lost in interviews and job descriptions

The job market, especially within tech and global companies, has developed its own dialect. Not understanding these acronyms can make you lose valuable opportunities or poorly negotiate your contract. To end this problem, we created the Definitive Glossary for the Remote Professional.

🏢 Work Models & Routine

Async (Asynchronous Work)
A communication model where responses don't need to be immediate. Instead of back-to-back meetings, the team relies on well-structured documents, threads, and messages. It's the gold standard for global companies spanning multiple time zones.
Sync (Synchronous Work)
The opposite of Async. It requires the team to be online and available at the same time for meetings, live chats, and real-time collaboration.
Daily / Stand-up
A quick daily meeting (usually 15 minutes) common in Agile (Scrum) methodologies. The team answers three questions: What did I do yesterday? What will I do today? Are there any blockers?
All-Hands / Town Hall
A company-wide meeting involving all employees. Usually led by the founders (C-Levels) to present results, new goals, and answer team questions.
1:1 (One-on-One)
A recurring individual meeting between a professional and their direct manager. It is used for career alignment, feedback, and problem-solving, not just for project status updates.

💰 Contracts, Benefits & Compensation

PTO (Paid Time Off)
Instead of strict, categorized leave policies, modern US companies usually offer a flexible pool of days (e.g., 20 days of PTO, or even "Unlimited PTO") that you can use for vacations, sick days, or personal matters, while receiving your regular compensation.
Equity / Stock Options
Company ownership. The startup offers you the right to buy shares at a heavily discounted strike price in the future. If the company grows, goes public, or is acquired, these shares can be highly lucrative.
Vesting (Vesting Schedule)
The rule that controls your Equity. It usually lasts 4 years. You don't get all the shares on day one; you "earn" them gradually as you stay with the company. A "1-year Cliff" means you must stay for at least one year to receive your first batch of shares.
RSUs (Restricted Stock Units)
Unlike Stock Options (where you have the right to buy the stock), RSUs are actual shares the company grants you as a bonus or part of your compensation package, following a strict Vesting schedule.
Independent Contractor (1099 / B2B)
The most common international hiring model for global talent working for US companies. You act as a service provider (business-to-business), receiving the gross salary (often six-figure compensation) without standard local payroll tax deductions at the source.

🤖 Recruitment & Hiring Process

ATS (Applicant Tracking System)
The "robot" that reads your resume. Software like Greenhouse, Ashby, and Workday are used to filter candidates by keywords before a human even looks at the document. (Pro tip: this is why your resume must be clean, semantic, and have the right keywords).
JD (Job Description)
The document that lists the responsibilities, technical requirements, and benefits of the open position.
Cultural Fit
The interview stage that evaluates if your core values, communication style, and worldview align with the company's culture. This is the ultimate test of your Soft Skills.
Onboarding
The integration process. It's the period of your first few weeks at the company, where you get your access credentials, learn about the culture, study the internal documentation, and understand how the product works.

🚀 How to use this to your advantage?

The secret isn't just knowing what these acronyms mean, but using them actively. If during an interview for a premium tech role you ask, "How does your PTO policy and Vesting schedule work?", the recruiter will immediately perceive you as a high-level professional, familiar with the global market standards.

The remote job market requires preparation. And having the right vocabulary is the first big step to securing six-figure proposals and standing out among thousands of applicants.

Expert Tip

The Current State of the Cloud & DevOps Market

By Mondywork | The ultimate guide for tech professionals looking to level up their careers, land global remote roles, and master modern infrastructure.

The End of the "SysAdmin" and the Rise of Platform Engineering

If you've been tracking the most sought-after roles at startups and Fortune 500 companies, you've probably noticed a drastic shift. The Cloud Computing and DevOps market is no longer just about "keeping the app online." Today, companies demand extreme resilience, automation, and cost optimization (the famous FinOps).

DevOps culture has evolved. We are now in the era of Platform Engineering, where infrastructure teams build internal platforms to grant developers full autonomy (Self-Service). For those aiming for global remote roles with six-figure compensation, understanding this transition isn't just a plus—it's a strict requirement.

"Elite DevOps teams deploy code 973 times more frequently and boast a Mean Time To Recovery (MTTR) that is 6,570 times faster than low-performing teams."

— State of DevOps Report (DORA / Google Cloud)

What Do Recruiters and ATS Systems Really Look For?

Automated filters (ATS platforms like Greenhouse, Ashby, and Workday) are hardwired to scan for a very specific set of skills in Cloud/DevOps resumes. Simply listing 20 tools won't cut it anymore; you must demonstrate culture and real-world impact.

  • Infrastructure as Code (IaC): Forget clicking around the AWS console. Declarative tools like Terraform, Pulumi, and Ansible are the true industry standards.
  • Container Orchestration: Mastery of Docker and, above all, Kubernetes (K8s) is practically mandatory for premium roles.
  • CI/CD Culture: Building automated pipelines (GitHub Actions, GitLab CI, ArgoCD) that guarantee continuous and secure deployments.
  • Cloud Providers and Architecture: Proficiency in at least one major public cloud provider (AWS, Google Cloud, or Microsoft Azure), with a strong focus on Serverless, microservices, and system resilience.

How to Transition: The Roadmap to Success

Many Back-End developers, support analysts, and network professionals want to pivot to Cloud and DevOps. If that's your goal, follow this market-validated roadmap:

  1. Master the Basics (Linux and Networking): Modern DevOps runs on Linux. Understanding permissions, processes, bash scripting, and the fundamentals of TCP/IP, DNS, and Load Balancers is your foundation.
  2. Learn to Code: A DevOps engineer doesn't need to be a Senior Developer, but you must know how to automate tasks. Python and Go (Golang) are currently the most highly valued languages in this ecosystem.
  3. Are Certifications Worth It? Yes, especially to get past the initial HR screening. Certifications like the AWS Certified Solutions Architect – Associate or the CKA (Certified Kubernetes Administrator) carry massive weight in the global market.
  4. Build a Real Portfolio: Publish a project on GitHub where you provision infrastructure via Terraform, set up a CI/CD pipeline using GitHub Actions, and deploy a simple app to a Kubernetes cluster. Practical projects always beat theoretical resumes.

Essential References and Study Links

To stay up-to-date, we highly recommend following official organizations and annual market reports:


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