Full Stack Engineer, Health AI

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.

In This Role, You Will

• 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.

You Might Thrive In This Role If You

• Are deeply motivated by improving health outcomes and expanding access to medical expertise.
• Are a strong engineer who enjoys building durable, well-designed systems.
• Have 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.
• Are 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.
• Are thoughtful about the societal impact of AI and aligned with OpenAI’s mission to ensure AGI benefits all of humanity.

Bonus If You 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.

About OpenAI

OpenAI is an AI research and deployment company dedicated to ensuring that general-purpose artificial intelligence benefits all of humanity. We push the boundaries of the capabilities of AI systems and seek to safely deploy them to the world through our products. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we must encompass and value the many different perspectives, voices, and experiences that form the full spectrum of humanity.

We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or other applicable legally protected characteristic.

For additional information, please see OpenAI’s Affirmative Action and Equal Employment Opportunity Policy Statement.

Background checks for applicants will be administered in accordance with applicable law, and qualified applicants with arrest or conviction records will be considered for employment consistent with those laws, including the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the California Fair Chance Act, for US-based candidates. For unincorporated Los Angeles County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: protect computer hardware entrusted to you from theft, loss or damage; return all computer hardware in your possession (including the data contained therein) upon termination of employment or end of assignment; and maintain the confidentiality of proprietary, confidential, and non-public information. In addition, job duties require access to secure and protected information technology systems and related data security obligations.

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At OpenAI, we believe artificial intelligence has the potential to help people solve immense global challenges, and we want the upside of AI to be widely shared. Join us in shaping the future of technology.

Compensation Range: $293K - $325K