OpenAI

Full Stack Engineer, Health AI

OpenAI2 months ago
Location

San Francisco

Type

Full Time

Salary

USD 293,000 – 325,000

Level

Senior

Role

Full Stack Engineer

Posted

Jan 13, 2026

Full TimeSenior

The role

Summary

A Full Stack Engineer role at OpenAI's Health AI team focused on building scalable health technology systems that expand access to medical expertise globally. The position involves developing consumer and enterprise health products while maintaining strict privacy, security, and compliance requirements including HIPAA, working closely with product, design, and research teams in a fast-moving environment.

What you'll do

Full Stack System Design: Design and build scalable fullstack systems for consumer and enterprise health applications
End-to-End Feature Development: Own complete feature development lifecycle from early design and implementation through deployment, monitoring, and iteration
Compliance Engineering: Build and maintain data pipelines and services that meet strict privacy, security, and compliance requirements including HIPAA
Safety Integration: Collaborate with researchers and safety teams to integrate reliability, evaluation, and guardrails into production systems
System Optimization: Debug, optimize, and harden systems to support high availability, performance, and global scale
Problem Ownership: Take ownership of ambiguous problems and drive them to practical, high-quality solutions

What we look for

Technical

Production Code Experience5+ years of experience writing maintainable, production-quality code
Full Stack DevelopmentStrong experience in both frontend and backend development
System DesignAbility to design and build scalable, durable systems
Healthcare ComplianceUnderstanding of privacy, security, and compliance requirements like HIPAA

Education

Bachelor's DegreeBachelor's degree in Computer Science, Engineering, or related technical field (or equivalent experience)

Experience

Senior Engineering Experience5+ years of professional software engineering experience
Cross-functional CollaborationExperience working in fast-moving, cross-functional teams with engineers, product managers, designers, and researchers
High Agency OperationAbility to operate with high agency, owning problems end-to-end with minimal supervision

Skills

Required skills

Full Stack DevelopmentProficiency in both frontend and backend technologies
Production Systems5+ years experience building maintainable, production-quality code
System DesignAbility to design scalable, reliable systems
Healthcare ComplianceUnderstanding of HIPAA and other healthcare data regulations
Problem SolvingAbility to tackle ambiguous problems and drive them to completion

Nice to have

Product EngineeringStrong product engineering instincts to ship polished solutions from rough specifications
Entrepreneurial ExperienceEntrepreneurial drive or previous founder experience
Healthcare ProductsPrior experience building health-related products
Open Source ContributionsHigh-quality public code on GitHub or open-source contributions
Regulated ProductsExperience building compliant products in healthcare, enterprise, or finance
Distributed SystemsExperience with distributed systems, backend architecture, or large-scale data pipelines

Compensation & benefits

Salary

USD 293,000 – 325,000 (annual)

Stock options

Available

Benefits

Equity Compensation

Stock options and equity participation in OpenAI's growth

Health Insurance

Comprehensive medical, dental, and vision coverage

Professional Development

Opportunities to work with cutting-edge AI technology and learn from world-class researchers

Mission-Driven Work

Contribute to ensuring AGI benefits all of humanity through responsible AI development

Collaborative Environment

Work alongside top talent in AI research, product development, and engineering

Interview process

  1. 1
    Application Review — Initial screening of resume, portfolio, and GitHub contributions
  2. 2
    Phone/Video Screen — 30-45 minute conversation about background, motivation, and technical experience
  3. 3
    Technical Assessment — Coding challenge or take-home assignment focusing on full stack development
  4. 4
    System Design Interview — Discussion of system architecture, scalability, and healthcare compliance considerations
  5. 5
    Team Interviews — Multiple rounds with engineering team, product managers, and cross-functional partners
  6. 6
    Leadership Interview — Conversation with engineering leadership about career goals and cultural fit
  7. 7
    Final Round — Discussion with senior leadership about OpenAI's mission and your potential impact
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OpenAI

OpenAI

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OpenAI is an American artificial intelligence research organization developing advanced AI models like GPT. Focused on ensuring AI benefits humanity, it creates tools for natural language processing and generative AI applications.

San Francisco, California, United StatesFounded 2015openai.com

Tech Stack

Languages
JavaScriptTypeScriptPythonNode.js
Frameworks
ReactNext.jsExpress.jsDjango/Flask
Databases
PostgreSQLMongoDBRedis
Tools
DockerKubernetesAWS/GCPGitCI/CD pipelines
Other
HIPAA compliance toolsAPI designMonitoring systemsData pipelines

Interview Guides

5 guides available for OpenAI

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