Design Engineer
Lassie
San Francisco, CA · Posted December 12, 2025
Just laid off? Start here: a plan for the first weeks
More in California job market · Design Engineer jobs in San Francisco, CA (23) · All Design Engineer jobs (134) · Healthcare & Hospital Systems · Engineering jobs
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Where San Francisco, CA ranks
Where San Francisco, CA placed in our monthly rankings, month by month. Each month stays online at its own address.
November 2026
- #1Best cities for security jobs316 openings · of 20
- #1Best cities for technology jobs7,178 openings · of 100
- #1Best cities for financial services pay after cost of living$173k · of 33
- #1Best cities for entry-level jobs that want AI skills35% · of 100
- #1Best cities for entry-level jobs that want AI skills in the West Coast35% · of 54
- #1Cities with the most jobs that do not need a four-year degree in the West Coast902 jobs · of 47
Rankings about engineering jobs
- Best cities for software and engineering jobs #1 San Francisco (3,412 openings)
- Best cities for engineering pay after cost of living #1 San Mateo ($216k)
- Most requested AI skills in engineering jobs #1 AI tools in daily work (6.1%)
- AI tools named most often in engineering jobs #1 Claude (1.7%)
- Employers with the most engineering jobs #1 Amazon (2,992 roles)
Pay compared with the market
This listing does not state pay. Across 30 open design engineer listings that state pay, the middle half runs $110,000 to $210,500 and the median is $171,500.
Listed pay is what employers advertise, not what people are paid.
How AI is used in this kind of work
AI use among mechanical engineers is little observed so far. Measured exposure for mechanical engineers: 8% (little observed).
Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.
Skills this job asks for
Say which you have and which you want to build. We use it to match you to jobs like this one.
About the job
Our mission is to help small businesses run themselves. We’re starting with doctors’ offices, building autonomous systems that handle busywork and complete the workflows that keep the office moving every day. Our team is small, flat, and ambitious. We value craft, intellectual rigor, and direct communication.
ABOUT THE ROLE
We're hiring a design-minded engineer to build the control plane for powerful agents handling billing and medical records. Real patients and real practices depend on these systems. You'll craft interfaces that make autonomous agents feel trustworthy and effortless to supervise.
We take a consumer approach to healthcare software: approachable, elegant, and sweating the details. The product spans onboarding, human-in-the-loop review, the tools practice owners use to understand their business, and more.
YOU WILL BE A GREAT FIT IF YOU…
- Strive for great, not good, and iterate until you get there
- Take pride in building software that feels fast and effortless
- Look for leverage: using tools, automation, and process to multiply your impact
- Have strong fundamentals in JavaScript and browser APIs
- Believe healthcare software should be as delightful as consumer products
SOME THINGS WE'VE BUILT
- A sync engine backed by encrypted SQLite in the browser, enabling 100ms experiences http://blog.superhuman.com/superhuman-is-built-for-speed for healthcare payments and patient ledgers
- Systems that eliminate thousands of hours of paperwork every month
- Data pipelines processing $1B+ in insurance claims
TECHNOLOGY WE USE
We invest heavily in productivity. Engineers should have the best tools for the job and the freedom to choose them.
- TypeScript, React, Tailwind
- Python (Django, Pydantic AI), Postgres, Redis
- Google Cloud Platform, Vercel
- Linear, Slack, Notion
JOINING US
To start, you'll have a handful of conversations with our team and founders. If there is mutual excitement, we'll invite you to the office where you'll work on a small project and meet the team.