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Full Stack Engineer, Health AI

United States, San Francisco 293000.00 - 325000.00 USD / Year · Job Posted February 21, 2026
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Job Description

OpenAI’s charter calls on us to ensure the benefits of AI are distributed broadly and safely. Our Health AI team focuses on expanding access to high-quality medical expertise and aims to set a high standard for deploying AI responsibly in high-stakes domains. Improving health will be one of the defining impacts of AGI. Today, millions of people lack access to reliable medical information, and clinicians around the world face increasing time and resource constraints. We are building AI systems that support patients, clinicians, and health workers, while meeting the highest standards for safety, reliability, and privacy. We are seeking full stack software engineers to help build and scale products used by consumers and care providers globally. You will work closely with product, design, and research teams to ship real systems in a fast-moving, high-impact environment.

Job Responsibility

  • Design and build scalable fullstack systems for consumer and enterprise health
  • Own end-to-end feature development—from early design and implementation through deployment, monitoring, and iteration
  • Build and maintain data pipelines and services that meet strict privacy, security, and compliance requirements (e.g., HIPAA)
  • Collaborate closely with researchers and safety teams to integrate reliability, evaluation, and guardrails into production systems
  • Debug, optimize, and harden systems to support high availability, performance, and global scale
  • Take ownership of ambiguous problems and drive them to practical, high-quality solutions

Requirements

  • Deeply motivated by improving health outcomes and expanding access to medical expertise
  • Strong engineer who enjoys building durable, well-designed systems
  • 5+ years of experience writing maintainable, production-quality code
  • Can operate with high agency—owning problems end-to-end with minimal supervision
  • Enjoy working in fast-moving, cross-functional teams with engineers, product managers, designers, and researchers
  • Comfortable doing unglamorous but essential work when it is needed for the mission (e.g., compliance, data plumbing, reliability)
  • Stay goal-oriented rather than tool-oriented, choosing what works over what is fashionable
  • Thoughtful about the societal impact of AI and aligned with OpenAI’s mission to ensure AGI benefits all of humanity

Nice to have

  • Strong product engineering instincts—able to take a rough spec and ship a polished solution
  • Entrepreneurial drive or previous experience as a founder
  • Prior experience with health-related products
  • High-quality public code (e.g., GitHub projects, open-source contributions)
  • Experience building compliant or regulated products (healthcare, enterprise, finance, or similar)
  • Experience with distributed systems, backend architecture, or large-scale data pipelines

What we offer

  • 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), plus 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, and multiple paid coordinated company office closures throughout the year for focus and recharge, plus 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 to fuel your professional growth
  • 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
  • Offers Equity
  • Performance-related bonus(es) for eligible employees

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