**Beyond that one anecdote about your friend in college who got a $4K bill in
the mail, have you ever thought about how an ambulance gets paid?**
Ambulance agencies lose ~$40B a year to a maze of payor rules and denied
claims. Billers copy-paste between tabs. Documentation gets rejected for
missing fields no one told them about. Denials pile up because no one has time
to fight them. Paramedics run the call, save the life, and the agency eats the
cost.
We're building the AI that fixes this: ambient documentation, pre-bill error
catching, intelligent claims, automated denials. We're live with customers,
closing our first $1M ARR, and backed at pre-seed by Eniac and Euclid
Ventures.
**The team**
We're two people who move fast and own outcomes and want to build a small,
elite team. Ayla was a healthcare investor and EMT in Alameda County. August
was founding engineer doing voice and AI in healthcare at Commure, Simbie, and
Paratus. We started Ambra because EMS is the rare industry where good software
directly protects the 911 service people call on their worst day.
We're obsessed with craft, real customer impact, and replacing legacy systems
with software that works. We're hiring a founding engineer.
**About you**
You have an opinion and know when to push back. When a customer asks for X,
you figure out whether they need X or something three steps upstream. You
ship, feel good for thirty seconds, then notice what could be better.
You want to start a company someday. You want a true founding seat with
meaningful equity. You want to build something that matters in an industry AI
hasn't touched yet.
**What you 'll do**
This role takes a specific kind of engineer: an architect, technically
rigorous, opinionated, energized by customer conversations. You'll talk to
billers, fire chiefs, and ops leaders. Build customer-facing features. Own
end-to-end: architecture, code, deployment, the 2am page. Ship automation that
saves agencies millions and gets paramedics paid…and have fun with us.
**Must-haves**
* Excellent at building agentically. You have 10+ agents running at all time. You love to stay on top of new developments in AI building
* 1-3 years building fullstack products end-to-end
* High bar for quality, attention to detail, obsessively fast learner, clear communicator
* APIs, LLMs, RAG architectures
* React + design/UX sensibilities (you know what good product looks and feels like)
**Nice-to-haves**
* Go, PostgreSQL, Google Cloud
* EMS, 911, healthcare, or insurance billing background
* Double points: NREMT certified
* You've been a founder or founding engineer before
**On visas**
Our founders are both international and we welcome OPT and STEM OPT candidates
and will work with you on what's next!
**How we work**
* Fully remote or in-person in SF 2–3 days/week
* Lunch and dinner on office days
* $130–220K + generous founding equity
* Free health + vision + dental insurance
* Monthly wellness stipend for gym/fitness/appointments
* Unlimited PTO + 1 week/quarter “work from anywhere”