Full Stack Engineer, Health AI

OpenAI OpenAI · AI Frontier · San Francisco, CA · Applied AI

Full Stack Engineer for OpenAI's Health AI team, focusing on building and scaling AI-powered products for consumers and care providers globally. The role involves end-to-end feature development, data pipeline management, and integrating AI safety features into production systems, with a strong emphasis on privacy, security, and compliance in the healthcare domain.

What you'd actually do

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

Skills

Required

  • 5+ years of experience writing maintainable, production-quality code
  • High agency—owning problems end-to-end with minimal supervision
  • Experience operating in fast-moving, cross-functional teams
  • Experience with distributed systems
  • Experience with backend architecture
  • Experience with large-scale data pipelines

Nice to have

  • Strong product engineering instincts
  • 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)

What the JD emphasized

  • strict privacy, security, and compliance requirements
  • HIPAA
  • regulated products

Other signals

  • building and scaling products
  • integrating reliability, evaluation, and guardrails into production systems
  • meeting strict privacy, security, and compliance requirements