Software Engineer, Healthcare

OpenAI

. Design and build backend and full-stack systems powering OpenAI’s healthcare products .

Posted 9/15/2026full-timeSan Francisco • California • United StatesMid-LevelSenior💰 $347,000 - $385,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and building backend systems and APIs for healthcare products, with a strong focus on reliability, security, and compliance. Proven ability to manage production systems at scale and collaborate with cross-functional teams to translate complex workflows into scalable solutions.

Highest-signal resume keywords

Backend Services DevelopmentAPI Design and IntegrationData Pipeline ConstructionHealthcare Data StandardsProduction System Ownership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software DevelopmentSystem ArchitectureData ModelingIntegration DesignObservability and MonitoringTesting and Incident ResponseData GovernancePrivacy and Security ComplianceDistributed SystemsEnterprise SaaS Development

Soft Skills

Cross-Functional CollaborationProblem-SolvingHigh AgencyAdaptability

Industry Keywords

Healthcare InteroperabilityEHR SystemsHIPAA ComplianceEnterprise SecurityRegulated Industries

Tech Stack

Tools & technologies

Distributed Systems

About the role

Key responsibilities & impact

Design and build backend and full-stack systems powering OpenAI’s healthcare products
Build services, APIs, and data pipelines connecting OpenAI products with healthcare systems and enterprise data
Develop integrations with electronic health records and other healthcare data sources
Design systems meeting requirements around privacy, security, permissions, compliance, and data governance
Own features and systems from architecture and implementation through deployment, monitoring, and iteration
Build reliable systems handling complex data flows, partial failures, 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
Drive ambiguous technical problems toward practical, durable solutions

Requirements

What you’ll need

5+ years of experience writing maintainable, production-quality software
Strong experience with backend services, APIs, data systems, or distributed systems
Comfortable reasoning about system architecture, data models, authentication, permissions, 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 while maintaining ownership
High agency and comfort taking ambiguous problems from definition through production
Experience working directly with cross-functional partners and customers to understand complex workflows
Strong focus on reliability, privacy, security, and correctness
Nice to have: experience building enterprise SaaS products or platforms
Nice to have: experience with distributed systems, backend architecture, or large-scale data pipelines
Nice to have: experience building integrations with complex third-party systems or APIs
Nice to have: experience with authentication, identity, permissions, or enterprise security
Nice to have: experience in regulated industries such as healthcare, finance, or enterprise infrastructure
Nice to have: experience with healthcare interoperability, EHR systems, or healthcare data standards
Nice to have: experience building HIPAA-compliant products or systems
Nice to have: experience building applied AI or conversational products
Nice to have: previous experience in healthcare or health technology
Ability to work from the US office three days per week
Authorization to work in the country where the job is located

Benefits

Comp & perks

Offers equity
Performance-related bonus(es) for eligible employees
Medical, dental, and vision insurance for you and your family, with employer contributions to Health Savings Accounts
Pre-tax accounts for Health FSA, Dependent Care FSA, and commuter expenses (parking and transit)
401(k) retirement plan with employer match
Paid parental leave (up to 24 weeks for birth parents and 20 weeks for non-birthing parents)
Paid medical and caregiver leave (up to 8 weeks)
Paid time off: flexible PTO for exempt employees and up to 15 days annually for non-exempt employees
13+ paid company holidays
Multiple paid coordinated company office closures throughout the year for focus and recharge
Paid sick or safe time (1 hour per 30 hours worked, or more, as required by applicable state or local law)
Mental health and wellness support
Employer-paid basic life and disability coverage
Annual learning and development stipend
Daily meals in our offices, and meal delivery credits as eligible
Relocation support for eligible employees
Additional taxable fringe benefits, such as charitable donation matching and wellness stipends, may also be provided
Immigration and sponsorship support may be provided based on individual circumstances
Reasonable accommodations for applicants with disabilities