Senior/Staff Infrastructure Security Engineer

About Abridge

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

The Role

Want to work on building out security from the ground up at the leading edge of AI in healthcare globally? We're looking for a very experienced and highly motivated Senior or Staff Infrastructure Security Engineer to join our team as one of the first engineers on the Abridge Security team. In this role, you'll be a key technical leader, driving key initiatives that shape our product, infrastructure, and engineering practices.

You'll work cross-functionally with product and engineering teams to integrate security seamlessly, automate security capabilities and controls, design and implement the high-scale infrastructure and data pipelines that power our security organization, and mentor others to build secure-by-default systems at scale in the age of AI.

This position requires deep technical expertise, a builder's mindset, and excellent communication skills to influence security culture across the organization. This is a greenfield opportunity to architect the way forward for security at Abridge. You will thrive here if you are passionate about building 0 → 1 and believe that modern security is, at its core, a large-scale data and automation challenge.

What You’ll Do

• Engineer Internal Security Platforms: Develop and maintain self-service platforms that allow security teams to manage secrets, identity perimeters, and security guardrails at scale.

• Automation and DevSecOps: Write production-grade services to automate complex security workflows, turning manual interventions into reliable, code-driven processes.

• Infrastructure-as-Code (IaC): Establish automated security guardrails and golden path modules that ensure our cloud resources are secure by default. Codify infrastructure including networking, IAM, Kubernetes, databases, streaming and pubsub platforms, storage, distribution, and more.

• Build the Security Data Backbone: Design, build, and operate high-scale data pipelines to ingest, normalize, and enrich security telemetry for our detection and response functions.

• Enable Cross-Functional Teams: Partner with platform and product engineering to integrate security requirements into the developer lifecycle without introducing friction.

• Greenfield Leadership: Influence the selection of our security stack, evaluating build vs. buy for core security tooling, and establishing the engineering standards for a growing team.

What You’ll Bring

• Engineering Maturity: 8+ years of software engineering experience, including 5+ years of infrastructure-as-code experience in a cloud-first organization. You bring the seasoned perspective required to establish infrastructure standards for a founding team.

• The "Platform First" Mindset: You are a software or systems engineer who has spent years building in cloud-native environments (GCP or AWS). You view security as a platform service, not a gate, and have a track record of building tools that people actually enjoy using.

• Systems Architecture: Experience designing for high availability and scale. You understand how to handle "bursty" security log traffic and build resilient, distributed systems. Experience building and maintaining data pipelines is a plus.

• Software Engineering: Expert proficiency in at least one modern general-purpose language (Python is a plus). You write clean, testable, and maintainable code.

• Cross-Functional Influence: Demonstrated ability to drive large, cross-functional technical projects that impact security posture across the entire organization.

• Pragmatic Execution: You have a bias for action and a knack for navigating ambiguity. You understand how to weigh security risks against business velocity, choosing paved road solutions that empower your internal partners and developers.

Bonus Points If…

• You are excited to be a founding member of a security team, setting the technical bar from day one and building paved road solutions that empower your internal security partners and developers.

• You thrive in ambiguity and are excited about a greenfield environment.

• You believe that detection and governance are only as good as the infrastructure supporting them.

• You treat infrastructure as code and data as a first-class citizen.

• You enjoy moving between high-level architectural design and deep-dive coding/debugging.

Why Work at Abridge?

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

How we take care of Abridgers:

• Generous Time Off: 14 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees

• Comprehensive Health Plans: Medical, Dental, and Vision coverage for all full-time employees and their families.

• Generous HSA Contribution: If you choose a High Deductible Health Plan, Abridge makes monthly contributions to your HSA.

• Paid Parental Leave: Generous paid parental leave for all full-time employees.

• Family Forming Benefits: Resources and financial support to help you build your family.

• 401(k) Matching: Contribution matching to help invest in your future.

• Personal Device Allowance: Tax free funds for personal device usage.

• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.

• Lifestyle Wallet: Monthly contributions for fitness, professional development, coworking, and more.

• Mental Health Support: Dedicated access to therapy and coaching to help you reach your goals.

• Sabbatical Leave: Paid Sabbatical Leave after 5 years of employment.

• Compensation and Equity: Competitive compensation and equity grants for full time employees.

• ... and much more!

Equal Opportunity Employer

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We provide reasonable accommodations throughout the interview process. If you need reasonable accommodation in applying, interviewing, completing any assessment or otherwise participating in the employee selection process, please contact us at accommodations@abridge.com

Staying safe - Protect yourself from recruitment fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.