Senior Backend Engineer

Company: Abridge
Location: San Francisco
Posted on: April 2, 2026

Job Description:

About Abridge 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. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh. 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 either: (1) Proven track record of rapidly mastering new technologies and languages - you're the engineer who can pick up TypeScript/Node and be productive quickly, or (2) Deep specialization in Node.js backend development - you've built complex, scalable Node-based systems and know the ecosystem inside and out Passion for engineering excellence, and a love for data and architecture Experience building and deploying a complex backend system utilizing Temporal or Kafka at scale 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 Must be willing to work from our SF 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. 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? At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month. Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business. Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients. We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life. If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you. How we take care of Abridgers: Generous Time Off : 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees Comprehensive Health Plans : Medical, Dental, and Vision coverage for all full-time employees and their families. Generous HSA Contribution : If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA. Paid Parental Leave : Generous paid parental leave for all full-time employees. Family Forming Benefits: Resources and financial support to help you build your family. 401(k) Matching : Contribution matching to help invest in your future. Personal Device Allowance : Tax free funds for personal device usage. Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits. Lifestyle Wallet : Monthly contributions for fitness, professional development, coworking, and more. Mental Health Support : Dedicated access to therapy and coaching to help you reach your goals. Sabbatical Leave : Paid Sabbatical Leave after 5 years of employment. Compensation and Equity : Competitive compensation and equity grants for full time employees. and much more! Equal Opportunity Employer Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability. 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.

Keywords: Abridge, Manteca , Senior Backend Engineer, IT / Software / Systems , San Francisco, California