Senior Software Engineer, Core Product

About Us
👏 Team from OpenAI, DeepMind, NASA, GoogleX, Tesla, and 2 physicians: 6 exits, 2 IPOs.
🔥 Our model outperforms Claude, Gemini, and GPT-4.5 on clinical benchmarks.
📈 400+ healthcare orgs signed in 16 months.
⚡️ $25M raised from YC, Amity Ventures, Sequoia scouts, and more.
🌎 $1T+ market opportunity. We’re going after all of it.

About the Role
We are seeking a Senior Software Engineer to build and ship core product features that deliver measurable reliability and speed in clinical workflows. You will work across services, data, and UI to improve high-churn paths, reduce latency, and introduce automation — while modeling strong engineering rituals. This is a hands-on role where you’ll be expected to ship quickly, improve stability, and take ownership of end-to-end product experiences.

Key Responsibilities

• Build and ship new features across Python/TypeScript services, APIs, and UI.
• Improve stability in high-churn pipelines (transcription, JSON note generation, EHR writebacks).
• Reduce latency and regressions in clinical workloads through profiling, caching, and schema improvements.
• Contribute to team-wide engineering rituals: observability, CI/CD, weekly “plan → ship → measure.”
• Debug production issues and ensure fast recovery through tracing, alerts, and error budgets.
• Hands-on experience shipping production services with CI/CD and reliability practices.
• Strong Python and TypeScript skills; comfortable building across stack layers.
• Demonstrated track record of reducing latency, error rates, or lead time for changes.

Hard Requirements

• Comfortable working in ambiguous, fast-moving startup environments.
• Experience with healthcare integrations (FHIR, HL7, EHR systems).
• Familiarity with observability tooling (OpenTelemetry, metrics pipelines).
• Background in performance optimization at scale.
• Ship at least one user-facing improvement across core services or UI.
• Implement tracing/alerts to stabilize a flaky pipeline and reduce failure rates.
• Adopt weekly “plan → ship → measure” cadence and track lead time for changes.
• Success OKRs (90 Days)

Nice-To-Have

First-Month Focus

• Reduce error rates in a core pipeline by 30–50%.
• Deliver measurable latency improvements (≥30%) in a high-volume workflow.
• Consistently ship features on a weekly cadence with visible post-deploy metrics.

Culture Fit

• Persistent, driven problem solver
• Willing to push back on leadership to defend quality/timelines
• Thrives in high-ambiguity, fast-paced startup environments
• Why Join Sully.ai?
• 🔥 Shape the Future of Healthcare: Build category-defining partnerships that enable doctors to focus on saving lives.
• 📈 Early-Stage Impact: Join early and play a critical role in shaping our partnership roadmap and overall company growth.
• 🌎 Remote-First Culture: Work with a talented, mission-driven team in a flexible, remote environment.
• 💰 Competitive Compensation: Enjoy a competitive salary, equity, and the opportunity to make a real difference.
• 🏆 Solve Scalability Challenges: Tackle complex challenges in a rapidly growing company, driving impactful change in healthcare.

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment.