About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Staff Software Engineer on the AI Platform team, you will design, build, and maintain the core infrastructure that empowers healthcare providers who use our platform every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
In the first 6 months, you’ll be responsible for setting up the foundations for long term success, investing in platform observability, reliability, and scalability. As a technical leader, you’ll be responsible for the entire lifecycle of major technical initiatives in our AI stack--from system design to deploying the code you've written.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
What You’ll Own:
Staff product engineers at Ambience drive new product areas, accelerate research and development of trustworthy AI for healthcare, and raise the standard of quality for other engineers and agents across the company.
Launch product areas: collaborate closely with go to market and research and development to bring new products to market. Recent launches include: longitudinal chart review to help clinicians prepare before visits, speech driven actions to reduce EHR burden, and our inpatient platform to power better care in hospitals.
Scale product areas: own the quality and velocity posture for a cluster of products and features. Can include enhancing products so they can expand across the entire health system, enabling rapid improvement of model-powered workflows, architecting systems so that they can serve the most complex patients at any time of day.
Who You Are:
7+ years of software engineering experience, including 3+ years architecting backend systems
Able to work in person at our San Francisco office at least three days per week
Track record of leading cross-team initiatives, scaling products and systems, and driving product outcomes
Skilled in TypeScript, Python, Go or other similar programming languages
Experience with React or similar frameworks helpful
Staff product engineers are expected to have a strong foundation in:
System Design: Architect through requirements gathering, API design, database design, distributed systems, security best practices, and eliminating bottlenecks across network, compute, and storage layers to build excellent products that scale.
Operational Excellence: Apply testing, observability, incident resolution, retrospectives, and on-call experience to provide a high quality experience for clincians and patients and maintain a high pace of product improvement.
Project Planning: Deliver complex individual launches, parallel efforts across R&D teams, or company-wide initiatives by making and communicating good decisions on scope and timelines.
To drive product success, staff product engineers often bring strengths in one or more of these areas:
Usability: Collaborate with product managers and designers to gain a deep understanding of problems to be solved, build intuitive applications that delight clinicians, and increse the learning rate of teams.
AI/ML Design: Collaborate with clinical AI researchers and machine learning engineers to make effective tradeoffs for healthcare, improve evals and learning loops, and build trustworthy agents.
Data Analytics: Collaborate with researchers and data analysts so that we can measure product usage, cost, and impact to evaluate how much value our products create for health systems across the country.
Delivery: Design products that are easy to configure, rollout, and support to health systems across the country so that we can expand rapidly while maintaining high product quality.
Distributed Systems: Design systems for challenging workloads to handle the wide range of retrieval, reasoning, and action needed for complex patient care.
Healthcare Integrations: Design reliable and clear semantics for our systems to understand and act on patient care journeys, continuously learning more about our healthcare system and the surrounding technology ecosystem.
Why Here:
Ambience powers both real-time and large scale clinical workflows at the country's largest and most intense health systems. Product experience, system performance, and model effectiveness directly influence whether clinicians use our products and how much positive impact we can create for patient care. Our products create tangible financial value for health systems, with each product's business case compounding the next.
We are growing rapidly across customers, patient population served, and product surface area. We contend with scale in a traditional sense: more health systems, more clinicians, more patients, more healthcare data, and more events to process, faster. We also handle \"semantic scale,\" the collection of problems that only arise when building for systems that can understand and act on the real world in complex, high stakes domains.
We equip staff engineers with small teams, high trust, and direct access to leadership. You will collaborate with sharp and compassionate people. We have experienced clinicians across our entire organization, including our in-house team of clinical AI researchers who both practice medicine in top health systems and build the models that power our products, a massive internal advantage in this space.
The strength of our platform and our relationships with health system stakeholders provide us with a front seat to transforming healthcare, deeper and more intimate than what you will find at any other tech vendor, AI lab, or consulting firm. That is the level of involvement required to move safely and rapidly in this space.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Senior Software Engineer on the Product team, you will design and build the features that healthcare providers interact with every single day as they care for patients. As an OpenAI portfolio company, you will be surrounded by the leading minds in AI and exposed to the latest advancements in our field.
In the first 6 months, you'll take ownership of meaningful product initiatives end-to-end — from shaping the experience with our product and design partners to shipping high-quality code that reaches clinicians in production. You'll be a key voice in how we build, ensuring we move fast without sacrificing the reliability and craftsmanship our users depend on.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
What You’ll Do:
Design and architect major product features leveraging the latest advancements in AI to deliver a magical user experience
Anticipate system bottlenecks and proactively re-architect key system components before they create issues for our customers
Lead product initiatives with high strategic value, accelerating speed of iteration while preventing accumulation of technical debt
Hold the codebase to a high standard, and assist in developing engineering processes that encourage shipping high quality code
Who You Are:
You have a Bachelors degree and 5+ years of experience, or equivalent
You have 5+ years experience tackling challenging zero-to-one software engineering problems that have spanned multiple teams
You have a strong product instinct — you think about the end user experience, not just the technical implementation
You're comfortable moving across the stack to take projects to the finish line, with solid experience in modern web technologies and cloud infrastructure (e.g. AWS/GCP, Postgres, Docker)
You have a demonstrated ability to own execution from inception through to successful outcomes
You are a low-ego team player who prioritizes co-discovering the best ideas, even if they're not your own
You value being a kind, encouraging, and supportive teammate
You thrive in environments with high levels of complexity, uncertainty, and ambiguity
Pay Transparency
Every offer at Ambience includes both base salary and an equity grant. The base salary range for this role is:
(SF Bay Area): approximately $188k — $235k per year
This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a Strategic Growth Executive, you will own some of Ambience’s most complex enterprise pursuits. This is a senior, net-new sales role focused on selling into the largest health systems and academic medical centers in the country. You will be responsible for breaking into highly matrixed organizations, navigating multi-stakeholder buying processes, and closing large, long-cycle enterprise agreements. Strategic Growth Executives operate with significant autonomy and high expectations, while serving as the front-line architects of Ambience’s enterprise growth motion designing entry strategies, shaping value narratives, orchestrating internal and external stakeholders, and establishing repeatable patterns for enterprise adoption.
What You’ll Do:
Own the enterprise sales process end-to-end, from net-new account penetration through close, across long, multi-threaded sales cycles (6–12+ months)
Prospect into and break into large health systems, developing entry strategies that do not rely solely on existing relationships
Map complex stakeholder environments and orchestrate multi-person buying groups across clinical, operational, and financial leadership (CMIO, CMO, CIO, CFO, Revenue Cycle, COO, CEO)
Shape decision criteria and evaluation frameworks so Ambience’s clinical, operational, and financial value is clearly differentiated and prioritized
Conduct deep discovery to understand clinical workflows, operational constraints, and financial drivers, and translate those insights into compelling, tailored ROI narratives
Translate discovery insights into CFO-grade ROI models that explicitly tie Ambience’s platform to inpatient documentation integrity, CMI, CDI, coding accuracy, throughput, physician efficiency, and retention
Navigate internal politics, manage competing incentives, and “whip the vote” to drive alignment toward a single buying decision
Negotiate high-value, multi-year enterprise agreements that balance customer wins with Ambience’s long-term strategic and financial interests
Design creative enterprise deal structures (e.g., pilots with expansion logic, performance-based pricing, SLAs/KPIs) that align customer outcomes with Ambience’s long-term strategic interests
Orchestrate founders, executive leadership, Product, Care Transformation, Marketing, and RevOps throughout enterprise pursuits to reinforce value, manage risk, and accelerate alignment
Maintain disciplined deal management and forecasting, documenting account strategies, win plans, and pipeline activity with high rigor
Who You Are:
• You have 5+ years of experience selling complex enterprise software into large health systems or academic medical centers
• You have personally closed seven-figure deals with long sales cycles and high stakeholder complexity
• You are fluent in selling to both clinical and financial executives and can adapt your messaging without losing credibility with either audience
• You have demonstrated success breaking into net-new enterprise accounts and advancing deals without heavy reliance on inbound leads
• You understand how enterprise deals actually get done, including politics, power dynamics, and unspoken incentives
• You can construct, defend, and communicate CFO-level financial and ROI models grounded in real clinical and revenue-cycle workflows
• You think like a builder and are comfortable operating without rigid playbooks while creating repeatable enterprise patterns that scale beyond individual deals
• You are a strong closer and disciplined value architect, not just a polished presenter and can clearly articulate your personal role in driving deals across the finish line
• You have experience operating in startup or high-growth environments and are comfortable building your own path without rigid processes or playbooks
• You are highly motivated, resilient, and willing to do the work required to unblock complex, slow-moving sales cycles
• You value direct feedback, low-ego collaboration, and accountability
• You are willing and excited to travel between 50-70% of the time to build relationships and close strategic deals
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Ambience is hiring a Technical Lead Manager of Product Engineering to lead and scale our core engineering teams as we build the category-defining AI platform for healthcare. You’ll partner closely with product, design, and clinical teams to translate ambitious ideas into production-ready systems that are scalable, maintainable, and loved by end users.
This role is responsible for growing the team from 5 to 10+ engineers, building high-functioning pods around product domains, and delivering features that have a direct impact on clinician efficiency and patient outcomes. You’ll shape org design, culture, and process at a critical moment in Ambience’s growth, reporting directly to the Head of Engineering.
Required - Willing to work 3 days/week from the San Francisco office.
What You’ll Do:
Build the Team: Help grow and shape a high-performing engineering group by hiring, onboarding, and developing strong ICs. Partner closely with recruiting and tap into your own network to attract and close exceptional talent.
Design for Speed and Autonomy: Architect the engineering team for high ownership and product velocity. Set clear team charters, rituals, and scopes of responsibility.
Drive Product Impact: Ship major customer-facing initiatives that expand Ambience’s enterprise footprint, while raising the bar on quality and performance.
Coach and Grow Managers: Mentor EMs or TLs, create pathways for career growth, and promote a culture of feedback, execution, and high agency.
Set Engineering Standards: Lead on architecture, code quality, release reliability, and data integrity. Establish best practices and ensure consistency across pods.
Partner Cross-functionally: Collaborate deeply with PM, Design, and Clinical SMEs to ensure strong planning, discovery, and delivery practices across the product lifecycle.
Lead Through Ambiguity: Translate high-level business goals into actionable plans, unblocking teams and delivering results in fast-moving and uncertain environments.
Who You Are:
Experienced hiring manager; has personally hired 7+ engineers, and built teams in fast-paced, high-growth environments
Hands-on Leader: You bring 8+ years of software engineering experience, including 3+ years managing engineers
Technically Credible: You’ve built and scaled distributed systems, shipped backend and full-stack features in SaaS environments, and can go deep on technical decisions when needed.
Product-Oriented: You know how to collaborate with PM and Design, think in terms of user outcomes, and ensure your team is always building the right thing.
Execution-Focused: You take pride in delivering on ambitious goals. You know how to align a team, debug process issues, and accelerate throughput.
Culture Shaper: You build inclusive teams with strong feedback and trust cultures. You lead with empathy and set a high bar for engineering maturity and ownership.
Mission-Aligned: You’re excited by our vision to improve healthcare through AI and motivated by the opportunity to build a platform that makes a real-world impact.
Nice-to-haves:
Experience in enterprise SaaS or healthtech
Prior experience at high-growth Series B–D startups
A personal network of Bay Area engineers or managers
History of technical thought leadership (talks, blogs, open-source)
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
As a Senior Machine Learning Engineer at Ambience, you will build and improve the AI systems that power our clinical products. You’ll own complex projects end-to-end, from diagnosing production failures and designing evaluations to building, deploying, and iterating on model and agentic systems.
This is a highly hands-on role with significant technical ownership. You’ll work closely with clinicians, product managers, and fellow engineers to translate cutting-edge research into reliable, production-grade AI systems.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
Build Trustworthy AI Evaluation Systems: Design and own evaluation pipelines for LLM and agentic systems, combining automated graders, regression testing, production feedback, and human evaluation to measure real product quality.
Improve Production Model Behavior: Diagnose high-impact failure modes and test improvements across prompting, retrieval, context, routing, data, fine-tuning, or other model and system interventions.
Build Agentic AI Systems: Develop production systems involving tool use, retrieval, context and state management, routing, orchestration, tracing, and failure recovery.
Build Data and Improvement Flywheels: Turn production failures and user feedback into better datasets, evaluations, and model behavior through active learning and systematic iteration.
Stay at the Cutting Edge: Distill insights from recent research in LLMs, agents, NLP, speech, and multimodal AI and translate promising ideas into practical experiments.
Own AI Systems End-to-End: Work across models, data, evaluation, orchestration, serving, and observability, while remaining deeply hands-on in code and production debugging.
Strong Production AI Experience
5+ years in production ML, research engineering, or applied AI.
Have built a consequential production AI system or materially improved model behavior in production.
Strong understanding of modern LLMs, transformers, and production AI systems.
Deep Evaluation Experience
Experienced designing evaluations for LLMs, agents, or other complex AI systems.
Can turn ambiguous quality problems into measurable dimensions, datasets, and experiments.
Familiar with challenges such as grader bias, leakage, misleading aggregate metrics, regression detection, and offline-online mismatch.
Agentic Systems Experience
Experience building production systems involving multiple models, tools, retrieval, context, state, routing, or orchestration.
Understands reliability and failure modes in complex AI workflows, not just individual model calls.
Production-Grade Software Engineer
Proficient in Python and modern ML frameworks; PyTorch preferred.
Comfortable with deployment, observability, CI/CD, and containerized systems.
Still highly hands-on: writes code, inspects traces, analyzes failures, and debugs production systems.
Data-Centric AI Developer
Skilled at building high-quality datasets and feedback loops.
Experienced using production failures, user feedback, and active learning to improve model and system quality.
Effective Interdisciplinary Collaborator
Able to work closely with clinicians, product managers, and fellow engineers.
Strong communicator who can simplify complex AI concepts for diverse audiences.
Comfortable owning ambiguous technical problems and driving them to measurable outcomes.
Nice-to-Haves
Experience with realtime voice, conversational AI, or multimodal systems.
Experience with fine-tuning, post-training, or model adaptation.
Prior work in healthcare, clinical AI, or other regulated, high-stakes industries.
Experience interviewing or mentoring ML engineers.
Open-source contributions to ML, agent, or evaluation tooling.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
As a Staff Machine Learning Engineer at Ambience, you will help set the technical direction for the AI systems that power our clinical products. You’ll identify the highest-impact opportunities to improve model behavior, evaluation, post-training, and agentic systems, and lead the design and execution of cross-cutting initiatives.
This is a highly hands-on role with broad technical influence. You’ll work closely with clinicians, product managers, researchers, and engineers to translate cutting-edge research into reliable, production-grade AI systems.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
Define the AI Quality and Evaluation Strategy: Establish how we measure production AI quality across LLM and agentic systems, including automated graders, regression testing, human evaluation, failure taxonomies, and offline-to-online validation.
Drive Production Model Improvement: Identify high-impact failure modes across products and lead improvements across prompting, retrieval, context, routing, data, and post-training. Design experiments that determine the right intervention and prove that improvements hold in production.
Advance Post-Training Capabilities: Shape how Ambience uses techniques such as supervised fine-tuning, preference optimization, reinforcement learning, distillation, and synthetic data to improve model behavior.
Architect Agentic AI Systems: Set technical direction for production systems involving tool use, retrieval, context and state management, routing, orchestration, tracing, and failure recovery.
Build Self-Improving AI Loops: Design the systems that turn production failures and user feedback into better datasets, evaluations, and model behavior, creating scalable improvement flywheels across products.
Shape the AI Roadmap: Co-develop the 12-month technical roadmap, balancing near-term product wins with longer-term research and platform investments.
Raise the Technical Bar: Lead technical reviews, mentor engineers, establish best practices, and create reusable systems and frameworks that improve the effectiveness of the broader AI team.
Stay at the Cutting Edge: Distill insights from recent research in LLMs, agents, post-training, NLP, speech, and multimodal AI, and drive experiments that keep Ambience at the forefront of clinical AI.
Expert in Production AI Systems
7+ years in production ML, research engineering, or applied AI.
Deep expertise with modern LLMs, transformers, and complex production AI systems.
Have led or materially shaped consequential AI systems with real production impact.
Able to reason across models, data, orchestration, evaluation, serving, and product behavior.
Deep Evaluation Rigor
Significant experience designing evaluations for LLMs, agents, or other complex AI systems.
Can turn ambiguous product-quality problems into robust metrics, datasets, and experiments.
Experienced with grader bias, leakage, contamination, misleading aggregate metrics, regression detection, and offline-online mismatch.
Knows how to establish whether a model or system improvement actually translates into better user outcomes.
Agentic Systems Expertise
Have built or architected production systems involving multiple models, tools, retrieval, context and state management, routing, orchestration, tracing, and failure recovery.
Understand how to evaluate and debug complex agent behavior across model, tool, and system boundaries.
Comfortable making architectural decisions that span multiple products or teams.
Post-Training and Model Improvement Expertise
Have materially improved model behavior through post-training or model adaptation techniques such as supervised fine-tuning, preference optimization, reinforcement learning, distillation, synthetic data, or related approaches.
Understand how data quality, objective design, evaluation, and post-training choices affect downstream model behavior.
Know when post-training is the right intervention versus prompting, retrieval, context optimization, routing, or changes to the surrounding system.
Have taken model improvements from experimentation through rigorous evaluation and production deployment.
Production-Grade Software Engineer
Proficient in Python and modern ML frameworks; PyTorch preferred.
Comfortable with modern MLOps, CI/CD, observability, and containerized deployments.
Remains deeply hands-on: writes code, inspects traces, analyzes failures, and prototypes solutions.
Data-Centric AI Developer
Skilled at building large, high-quality datasets and feedback loops.
Experienced using production failures, user feedback, and active learning to improve model and system quality.
Able to design data and evaluation infrastructure that creates leverage across multiple teams.
Effective Technical Leader
Able to work closely with clinicians, product managers, researchers, and engineers.
Strong communicator who can simplify complex AI concepts and build alignment around technical decisions.
Comfortable operating in ambiguity, identifying the right problems to solve, and driving execution across multiple workstreams.
Mission-Aligned
Passion for healthcare or other mission-driven industries.
Thrives in a fast-paced, early-stage environment.
Takes broad ownership of technical outcomes and raises the effectiveness of the people around them.
Nice-to-Haves
Experience with realtime voice, conversational AI, or multimodal systems.
Prior work in healthcare, clinical AI, or other regulated, high-stakes industries.
Experience interviewing or hiring ML engineers.
Open-source contributions to ML, agent, evaluation, or post-training tooling.
Our products power specialty-specific note generation, chart-aware diagnosis prediction, and real-time clinical decision support in real clinical settings. The work is deeply technical, but the goal is simple: help clinicians do great work with less friction.
To keep improving, we can't wait around for bigger models. The fastest path is building intelligence that gets better with every encounter — learning from how clinicians actually use the products, what they change, and what outcomes follow.
You will own the hardest model quality problems across our clinical AI suite: coding models that navigate a proprietary million-term ontology with multi-objective precision, a scribe that learns from edit signals without introducing regressions, long-context chart understanding that stays faithful under real clinical complexity, and population-level reasoning that surfaces patterns across patients in a way that's auditable and actionable.
This is not applied ML on clean benchmarks — it's research-grade model work with production stakes, where your improvements directly shape what clinicians experience every day.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
Ambience runs real-time clinical workflows inside some of the country’s most security-sensitive health systems. Security can’t be bolted on—it must be engineered into the product.
This is a senior technical role focused on how Ambience designs, builds, and operates secure products. You’ll bring deep product security expertise and a strong software engineering foundation while extending your impact into cloud security as our AWS environment evolves.
You’ll partner with engineering from design through verification on high-risk changes and foundational product capabilities. You’ll own security analysis, technical requirements, risk decisions, and tooling—and contribute code wherever it creates the most leverage.
You’ll design secure systems, work fluently with code, and use AI to build context quickly, accelerate learning, and extend your reach—while grounding every decision in strong computer science, security fundamentals, and technical judgment.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
Secure design for high-risk changes — Guide initiatives from design proposals and architecture decisions through implementation and verification. Define threat models and security requirements, review sensitive implementation paths, and contribute prototypes, automation, or PRs when needed.
A credible, risk-based security backlog — Own findings from product reviews, bug bounty, penetration tests, audits, cloud tooling, and hands-on testing. Validate impact, recommend practical mitigations, and drive material issues to verified resolution or explicit risk acceptance.
Security engineering that scales — Expand coverage through guidance, developer enablement, automation, and well-operated tooling. Own tools across integration, tuning, triage, maintenance, and measurement—and improve or retire those that aren’t reducing risk.
Cloud risk reduction through our AWS migration — Partner with Platform and Infrastructure Engineering to reduce risk across IAM, network segmentation, workload isolation, secrets, logging, and configuration. Apply strong security fundamentals while building deeper AWS expertise, operationalizing our CNAPP, and establishing practical guardrails.
Security across the environment — Reduce risk across production, development, software delivery, enterprise AI, and internal systems. Help scope and remediate incidents, then turn lessons learned into durable improvements and secure paved paths.
Staff-level product security judgment. You have the depth to operate independently across complex product security challenges—typically developed through 8+ years of experience—and the range to extend into adjacent areas such as cloud security. You don’t just find vulnerabilities; you design systems that prevent entire classes of them.
Engineering roots. You’ve shipped production code, built meaningful software or automation recently, and are strong in at least one backend or automation language such as Go, Python, Java, or TypeScript. You see security as an engineering problem, not a compliance checklist.
Product security depth. You understand authentication and authorization—including OAuth, OIDC, SAML, JWT, RBAC, and ReBAC—as well as API security, threat modeling, secure code review, vulnerability testing, and multi-tenant SaaS handling sensitive data. You can move from an architecture diagram into the implementation path that matters.
Cloud security fluency or aptitude. You have working knowledge of cloud security concepts such as IAM, network architecture, workload isolation, secrets, and logging—or a demonstrated ability to develop that expertise quickly.
Offensive validation instincts. You can reproduce vulnerabilities, conduct targeted dynamic testing, build proof-of-concept exploits, and distinguish exploitable risk from theoretical concern.
Demonstrated influence. You’ve helped engineering teams understand, prioritize, remediate, and verify material security risks.
Tooling ownership. You’ve owned security tooling or automation beyond deployment, including integration, tuning, triage, maintenance, and evaluation.
AI-augmented security engineering. You use AI as a force multiplier to develop depth in unfamiliar domains, expand your coverage, and move with greater speed. You validate its output against first principles and remain accountable for every technical and security decision.
Based in the Bay Area and able to work from our San Francisco office three days per week.
Experience securing healthcare systems, PHI, or similarly regulated data
Experience designing or securing relationship-based or fine-grained authorization systems
Offensive security or red-team depth used to demonstrate impact and influence priorities
Experience securing enterprise AI applications, AI-enabled products, or internal AI adoption
Deep AWS security experience, including IAM, network architecture, workload isolation, configuration management, and CNAPP operations
At most companies, security is reactive. At Ambience, it’s a product enabler. The systems you build will help us earn—and keep—the trust of the country’s largest health systems.
You’ll have meaningful ownership, direct access to leadership, and the opportunity to define product security at a company where it truly matters. You’ll join a small, high-trust team working on technically deep, mission-critical problems.
Pay Transparency
Every offer at Ambience includes both base salary and an equity grant. The base salary range for this role is:
(SF Bay Area): approximately $226k — $283k per year
This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Ambience processes millions of patient encounters across the nation's largest health systems. These organizations trust us with real-time clinical workflows where latency and reliability directly impact patient care. A slow response during a patient visit isn't just a bad metric; it's a physician abandoning the tool.
You'll own the core systems that let Ambience scale reliably: database architecture, caching, multi-tenancy, and the performance optimization that determines whether our products feel fast or frustrating to clinicians. You'll design database architecture that handles our growth trajectory, build caching systems that keep EHR API latency out of critical paths, and create multi-tenant infrastructure that isolates customer data without sacrificing performance.
The goal: infrastructure that other teams depend on without thinking about it.
Our engineering roles are hybrid — working onsite at our San Francisco office three days per week.
What You’ll Own:
Database Architecture & Scaling — Own database performance end-to-end: query optimization, indexing strategy, connection management, capacity planning. Design multi-tenant data patterns that maintain performance while balancing isolation tradeoffs.
Caching & Latency Optimization — Build caching infrastructure that keeps EHR API latency out of critical user paths. Identify and optimize hot paths across the application. Build instrumentation to catch performance regressions before they reach users.
Rate Limiting — Design systems that respect EHR API rate limits while maintaining user experience. Build infrastructure that degrades gracefully under load: queue management, circuit breakers, load shedding.
Reliability & Observability — Dashboards and alerting for database performance, cache hit rates, connection pool utilization, API latency by customer. Systematically identify and harden against failure modes: connection exhaustion, cache stampedes, thundering herds.
Who You Are:
7+ years in software engineering, 3+ focused on infrastructure, backend systems, or platform engineering
Staff-level scope: owned cross-cutting infrastructure, debugged production issues that stumped others
Strong backend fundamentals in Python, Go, TypeScript, or similar
Deep experience with relational databases (Postgres preferred)
Comfort reading code across the stack to trace performance issues
Track record of diagnosing and solving scaling or reliability problems
In SF, 3x/week in-person
Why Here:
Ambience powers real-time clinical workflows at the country's largest health systems. Latency and reliability directly impact whether physicians adopt the tool. This isn't theoretical scaling; it's infrastructure that matters.
Healthcare adds interesting constraints. Multi-tenancy has compliance implications. Caching patient data requires thinking about retention and access controls. Your infrastructure decisions have downstream security and privacy consequences.
We're growing rapidly across customers, encounters, and product surface area. The investments you make now will determine how smoothly we handle 10x growth. Small team, high trust, direct access to leadership. Staff engineers here shape technical direction, not just execute on it.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
As a National Strategic Account Executive, you will own a small portfolio (6-9 accounts) of Ambience’s most strategic and complex health system relationships. This is a senior enterprise role focused on driving large-scale expansion, system-wide adoption, and long-term strategic value within the largest and most influential health systems in the country, while selectively landing new marquee national accounts.
You will operate as the primary executive owner of these relationships navigating evolving stakeholder dynamics, shaping enterprise-wide value narratives, and orchestrating internal and external resources to grow Ambience’s footprint at scale. National Strategic Accounts Representatives are expected to operate with significant autonomy and judgment, balancing near-term expansion execution with long-term strategic positioning across multi-year account horizons.
What You’ll Do:
Own the end-to-end strategic account lifecycle for assigned national accounts, including enterprise expansion, new use case adoption, and long-term value realization
Serve as the primary executive relationship owner for a small number of Ambience’s largest health system partners, maintaining continuity through leadership turnover and strategic shifts
Selectively lead net-new pursuits for top-tier national health systems in partnership with executive leadership and founders
Map complex stakeholder environments and sustain multi-threaded executive engagement across clinical, operational, financial, and IT leadership (CMIO, CMO, CIO, CFO, COO, Revenue Cycle)
Shape enterprise decision criteria and evaluation frameworks so Ambience’s clinical, operational, and financial value (particularly in inpatient settings) is clearly differentiated and prioritized
Conduct deep discovery to understand enterprise workflows, system constraints, and financial drivers, and translate those insights into compelling expansion narratives
Build and maintain CFO-grade ROI models that explicitly tie Ambience’s platform to inpatient documentation integrity, CMI, CDI, coding accuracy, throughput, physician efficiency, and system-level outcomes
Design and execute multi-phase enterprise expansion strategies across facilities, service lines, and capabilities
Negotiate high-value, multi-year enterprise agreements and expansion structures that balance customer outcomes with Ambience’s long-term strategic and financial interests
Navigate internal politics, manage competing incentives, and maintain executive sponsorship through shifting priorities and budget cycles
Orchestrate founders, executive leadership, Product, Care Transformation, Marketing, and RevOps to reinforce value, manage risk, and accelerate expansion initiatives
Maintain disciplined operating rigor, including account strategies, expansion roadmaps, forecasting, and internal executive communication
Who You Are:
You have 8+ years of experience selling and managing complex enterprise software relationships within large health systems or academic medical centers
You have owned and grown a small portfolio of large, multi-year enterprise accounts with demonstrated expansion success
You have personally led seven-figure-plus enterprise deals involving high stakeholder complexity and long sales cycles
You are fluent in selling to clinical, operational, and financial executives and can adapt messaging without losing credibility across audiences
You understand how enterprise health system decisions actually get made, including politics, power dynamics, governance, and unspoken incentives
You can construct, defend, and communicate CFO-level financial and ROI models grounded in real clinical and revenue-cycle workflows
You think like an enterprise owner—comfortable balancing immediate expansion execution with long-term strategic account stewardship
You are a disciplined value architect and strong closer, able to clearly articulate your role in driving expansion and landing major enterprise outcomes
You are comfortable operating in high-growth or startup environments with limited playbooks and high accountability
You value direct feedback, low-ego collaboration, and cross-functional ownership
You are willing and excited to travel as needed to maintain executive relationships and close strategic expansion and new-logo opportunities
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Join a dynamic team revolutionizing healthcare through AI-powered solutions that enhance clinician productivity and reduce administrative burdens. This role blends clinical expertise with technical problem-solving and application of advanced cutting-edge AI technologies, supporting the development of accurate and effective medical documentation, coding, and other AI tools to give clinicians superpowers.
Required - Willing to work 3 days/week from the San Francisco office.
What You'll Do:
Prototype and experiment with state-of-the-art models, techniques, and architectures, collaborating with clinicians and technical teams to improve user experience and functionality.
Design experiments, success criteria, and roadmaps for novel products and features.
Evaluate and refine AI models to ensure clinical accuracy and reliability.
Curate and audit datasets to maintain high-quality, representative training and testing material.
Analyze feedback and resolve issues with AI outputs, using clinical insights and analytical skills.
Expand knowledge across medical specialties to inform the development of AI solutions tailored to diverse clinical needs.
Who You Are:
Advanced clinical degree (e.g., MD, DO) with hands-on experience in medical documentation workflows.
Strong communication, adaptability, and problem-solving skills.
Commitment to continuous learning and staying current with technical advancements.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
Ambience is looking for a Strategic Finance / FP&A Lead to own and scale the company's financial forecasting, planning, and reporting infrastructure. In this role, you will build and maintain the financial models that drive high-confidence decision-making across GTM, Product, and Executive leadership. You will bring discipline to top-line modeling, support investor and board storytelling, and partner with accounting to ensure forecasting practices are GAAP- and audit-ready.
This is not a back-office finance role. You will be embedded in the business, working directly with sales, product, and operations leaders to translate operational reality into forward-looking financial visibility. The right person combines deep SaaS finance fluency with the ability to operate independently in a fast-moving, high-growth environment.
Fully own and maintain Ambience's 2-year financial model and rolling P&L forecast, including version control, updates, and internal distribution.
Lead the annual planning process end-to-end, including bottoms-up budgeting, goal alignment with department leads, and integration into the operating model.
Establish and run a monthly reporting cadence for forecast vs. actuals, including budget variance analysis, cash forecasting, and key variance commentary.
Lead financial preparation for quarterly board meetings, including top-line forecast updates, performance narratives, and investor-ready materials.
Build forecasting engines that link rep capacity, pipeline stages, and pricing into revenue forecasting, partnering with GTM and RevOps to validate assumptions.
Represent finance at deal desk to ensure effective margin representation across customer engagements.
Full ownership of the financial model and monthly forecast is transitioned, with a clear cadence for updates and scenario modeling.
Monthly reporting for forecast vs. actuals is stood up and running within 3-5 business days of close, with variance commentary that surfaces operational drivers.
A bottoms-up budgeting process is launched and underway with department leads, rolling into the operating model.
Financial preparation for board materials is delivered on time, with polished and exec-ready outputs that translate complex models into clean insights.
Pipeline-to-revenue forecasting models are operationalized, improving accuracy of long-range CARR forecasts.
6-10 years in strategic finance, FP&A, or investment banking with progression into operating roles at high-growth SaaS or technology companies.
Direct experience owning company-wide financial models and annual planning processes, including multi-year P&L forecasting and scenario analysis.
Strong fluency in SaaS metrics, cohort-based revenue modeling, and enterprise sales finance (pipeline conversion, rep productivity, CARR/ARR).
Demonstrated ability to partner cross-functionally with GTM, Product, and G&A leaders to align financial planning with business strategy.
Excellent executive communication: translates complex financial models into crisp, defensible insights for leadership and board audiences.
High ownership mentality: independently manages forecast updates, builds repeatable processes, and drives automation without hand-holding.
Healthcare or other regulated industry experience.
Experience partnering closely with Accounting on GAAP revenue recognition, close processes, and audit readiness.
Familiarity with modern planning and BI tools such as Adaptive, Pigment, Sigma, or similar.
Experience supporting fundraising processes or investor relations at a venture-backed company.
Background in management consulting or investment banking prior to operating roles.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
About the Role
We are hiring a Head of National Strategic Accounts to own how Ambience breaks into and wins the largest, most complex health system accounts in the country. This is a hands-on player/coach role where you are personally involved in the deals that matter most, helping to accelerate them through relationships, creativity, and presence while raising the ceiling on the revenue team's ability to navigate whale accounts.
You bring deep strategic deal expertise, C-suite credibility, and a pattern library of what it takes to win eight-figure health system partnerships. You transfer that expertise through active deal involvement and coaching, not from the sidelines. This is a rare chance to define how Ambience wins its largest health systems. Your impact compounds: not just through the deals you personally drive, but through the frameworks and coaching infrastructure you build that lift the entire revenue team's game on complex accounts.
What You'll Do
Carry the work yourself, not just oversee it. You will personally own one self-sourced strategic account end to end as its DRI, and stay hands-on alongside reps across the four to five most complex active deals, coaching from inside the deal rather than from the sidelines
Serve as Ambience's expert on how to structure, navigate, and win mega deals with large health systems. You will architect the account strategies, stakeholder maps, and deal structures the team executes against, and stay personally engaged in the deals where your presence or relationships change the outcome
Open doors- leverage an existing network of health system C-suite executives to accelerate Ambience's access at target accounts, and bring the team into those relationships rather than handing them off
Build the operating cadence and deal review process that lets the team triage strategic deals in real time
Work cross-functionally with Value Attainment, Clinical Solutions, Sales Engineering, and Customer Success to coordinate on strategic accounts and ensure every deal has the right internal resources behind it
Actively manage and coach the strategic accounts team and build out the team structure, hiring plan, and operating model over time
Requirements
12+ years in enterprise healthcare sales or strategic account leadership, with significant experience in deals with the largest health systems in the country
Demonstrated track record of involvement in closing $5M+ deals with multi-stakeholder, multi-year sales cycles — whether personally leading or architecting the strategy that got the deal done
Deep C-suite relationships across health system leadership (CEO, CMO, CIO, CFO) that you can activate on day one
Experience navigating complex health system procurement, including IT governance, clinical governance, legal review, and board-level approvals
Strong understanding of health system operations, clinical workflows, and the healthcare technology landscape
Experience building, mentoring, or significantly elevating a strategic accounts or enterprise sales team — not just carrying a personal book
Nice to Haves
Experience selling clinical AI, ambient documentation, or clinical decision support solutions
Background in health system consulting or advisory
Experience with gainshare or performance-based contract structures
Track record competing against and displacing Epic, Nuance/DAX, or other incumbent clinical documentation vendors
Pay Transparency
We offer a base compensation range of approximately $250,000 – $300,000 per year, exclusive of variable pay and equity.
This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
As our PM Lead, Inpatient Clinical Workflows, you'll own the clinician-facing features at the heart of Ambience's inpatient platform - the documentation and chart intelligence capabilities that define the core product experience for hospitalists and specialists.
You'll be accountable for two product pillars. First, Inpatient Scribe - the documentation experience purpose-built for inpatient workflows, from admission through discharge, handling the full complexity of rounding, handoffs, multidisciplinary coordination, and discharge summaries. Second, Chart Summarization (Patient Summary & Chart Chat) - the AI-powered chart intelligence layer that enables inpatient clinicians to rapidly synthesize patient history, surface relevant clinical context, and interact conversationally with the medical record.
Done well, this role makes Ambience indispensable for inpatient clinicians - transforming how hospitalists and specialists document, synthesize, and act on clinical information across the entire care episode.
This is a Lead PM role - you'll work closely with engineering, design, Clinical AI/ML, and GTM teams.
We're a hybrid company headquartered in San Francisco. This role requires being in the SF office 3x/week.
Define and execute the Inpatient Scribe roadmap for hospitalists and specialists, grounded in deep understanding of inpatient documentation workflows, rounding patterns, and EHR integration requirements.
Deliver a documentation experience that handles the unique complexity of inpatient care: multi-encounter days, team-based rounding, procedure documentation, handoff notes, and discharge summaries.
Drive measurable clinician outcomes - time-to-chart, documentation completeness, reduced after-shift charting - and demonstrate clear ROI for hospital administrators.
Own inpatient quality metrics - accuracy, latency, note completeness, workflow completion rates - and systematically eliminate the pain points that drive support escalations or clinician drop-off.
Partner with Engineering and Clinical AI/ML to adapt ambient capture and note generation models to inpatient-specific language patterns, workflows, and note types.
Own the product vision and roadmap for Patient Summary and Chart Chat within the inpatient setting, purpose-built for hospitalists and specialists managing complex, multi-day patient episodes.
Define the summarization experience that surfaces the right clinical context at the right moment: admission summaries, problem-oriented views, medication reconciliation context, overnight event recaps, and trend analysis across the hospital stay.
Own Chart Chat as a conversational interface to the medical record - enabling natural-language questions about patient history, labs, imaging, prior encounters, and evolving clinical trajectories.
Establish rigorous evaluation frameworks for summarization accuracy, completeness, and clinical safety in the inpatient context, partnering with Clinical AI/ML and clinical advisors.
5+ years of product management experience with direct ownership of a vertical product line or platform, including roadmap and end-to-end product experience.
Track record of rapidly building deep domain expertise in a complex, unfamiliar domain.
Strong technical fluency - comfort with AI/ML products, API integrations, and complex system design.
Experience driving adoption in complex enterprise environments with multi-persona buying committees.
Based in SF, available to be in the office 3x/week.
Healthcare or regulated-industry experience (a plus, not a requirement - we hire on scorecard competencies, not domain pedigree).
Experience with ambient AI, NLP, clinical documentation, or chart summarization technology.
Prior 0-to-1 product vertical experience.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
We are looking for a Senior Product Marketing Manager to own Chorus, the platform underneath every Ambience product across care settings. This PMM owns how Chorus shows up in the market: product- and suite-level positioning and messaging, launch governance, competitive and market intelligence, and the feedback loop between field signal and product strategy. The role sits deeper in the stack than a typical PMM seat. You need to understand how the platform works, not just how it's positioned.
Reporting directly to our Head of Marketing and working closely with our Product team, this is a high-visibility individual contributor role on a small but senior product marketing team, with real scope and room to grow as the team and function scale.
What You’ll Do:
• Own positioning and messaging for Chorus at the product and suite level, with sign-off authority over product claims and roadmap representations before they reach the market. Your messaging ladders up to the company narrative owned by Comms.
• Run launch governance across the product roadmap: triage and tier every release, decide what gets external amplification and what stays as internal enablement, and ensure the field is trained before anything goes live — against a PM org that ships fast.
• Build the competitive and market intelligence function for Chorus, sourcing from sales, account management, CRM, and call recordings, and feeding insight back into product and messaging decisions.
• Maintain battlecards that sellers actually use and refresh them fast. Know what competitors say about themselves versus what they deliver, and keep the sales team ahead of it.
• Own campaigns tied to product launches and platform milestones end to end: set the narrative, define goals, and coordinate across Sales Enablement, Comms, Growth, and Events.
• Step into other product areas and care settings as the platform grows — including new products built on Chorus and coverage across the PMM team when needed.
Who You Are:
• 7–10+ years of B2B product marketing experience, ideally with meaningful time marketing technical infrastructure or platforms (data infrastructure, cloud platforms, AI/ML tooling).
• Experience owning product-level positioning and messaging within a broader company narrative. You know how to make the product story land without drifting from the top-level message.
• Track record of running launch governance in a fast-shipping product environment — triaging, tiering, and deciding what gets external amplification and what doesn't.
• Strong market and competitive acumen, with experience maintaining battlecards that sales actually uses — sourced from win/loss data and customer perception, and refreshed fast enough to stay ahead of competitor moves.
• Track record of feeding field intelligence back into product and positioning decisions, sourced directly from sales, CRM, and customer conversations.
• Experience owning product-associated campaigns end to end — narrative, goals, and cross-functional coordination across enablement, comms, growth, and events.
Nice to Have:
• Strong healthcare or health-system domain experience, including familiarity with the EHR ecosystem, clinical vs. financial buyer personas, and the health system purchasing process.
• Experience marketing a platform that supports multiple product lines or care settings.
• Some startup or high-growth experience where the role and the processes weren't fully defined when you got there.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
The mission of an Account Manager (Care Transformation) is to build strong, long-term partnerships that drive meaningful positive change for providers, patients, and administrators across the healthcare landscape. You'll own your accounts from enterprise signature forward — retain, expand, renew — including the commercial outcomes that come with them. Working closely with leaders across health systems, you'll deepen adoption of Ambience from initial enterprise rollout into new care settings and new products. Your goal is to ensure Ambience delivers measurable clinical and financial outcomes as we grow our partnerships. As a trusted advisor, you'll align executive priorities with frontline needs to ensure Ambience enables better care at scale.
What You'll Do:
Own the commercial trajectory of every assigned account. You'll protect and grow revenue through renewals and expansions, build renewal readiness well ahead of contract expiration, qualify expansion opportunities as they emerge, and run the commercial boundary with Sales cleanly.
Take the handoff and run. You'll accept ownership of accounts at enterprise signature — stakeholder map, relationship history, deal context — and drive adoption, utilization, and executive engagement across the deployed footprint from day one.
Build high-trust partnerships with clinical, operational, financial, and IT leaders across your accounts. You'll be the face of Ambience to our health system customers, earning the confidence of stakeholders from the C-suite to the front line and turning alignment into momentum.
Open new ground inside your accounts. You'll generate demand for new products and care settings — building clinical champions, running new-SKU pilots, and producing the proof points that convert into expansion.
Shape and deliver clear ROI narratives that speak to what health systems care about. You'll align stakeholders on value methodology early, own QBRs and executive readouts, and build the economic evidence behind every expansion and renewal.
Set the account strategy and keep an honest view of account health. For each account you'll put the strategy on paper — customer context, partnership assessment, path forward, quarterly goals — and maintain a scorecard that rates partnership strength on evidence, not sentiment.
Make us better, together. You'll capture repeatable playbooks and account frameworks to help the entire Care Transformation team level up.
Who You Are:
8+ years of experience in strategic account management, healthcare transformation, health tech implementation, or healthcare management consulting. You've worked closely with provider organizations and know how to navigate complex health systems.
You have owned commercial outcomes directly — renewals, expansions, pricing and packaging decisions, and contract negotiation. You've been in the negotiation, not next to it.
Proven track record of managing and expanding enterprise partnerships — you've led post-sale motions, grown deployed footprints into enterprise-wide relationships, and built champions across clinical, operational, and executive teams.
Exceptional communicator with the ability to switch fluently between clinical, operational, and financial language. You know how to meet stakeholders where they are and communicate with clarity and credibility across functions.
Comfortable operating independently in high-ambiguity environments. You bring structure where none exists, anticipate roadblocks, and take ownership without waiting for instructions.
Deeply mission aligned — you care about fixing what's broken in healthcare and are motivated by working with a team that shares that urgency.
This role requires up to 30% travel. Travel will include onsite support during key customer events, stakeholder meetings, and QBRs across the U.S. All travel expenses are covered in accordance with Ambience's travel policy.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
Health systems trust Ambience with some of the most sensitive data there is, and proving that we deserve that trust is essential to every partnership we build. We are looking for a Senior GRC Analyst to own our governance, risk, and compliance program end to end, from SOC 2 and PHI governance to vendor and AI-model risk to the security evidence our customers rely on.
This is a senior individual contributor role with a broad mandate and real latitude to shape how the program runs. We treat GRC as an agile, evolving practice rather than a checkbox exercise. That means doing the technical digging yourself: using AI coding tools like Claude Code to answer compliance questions directly from the codebase instead of routing every question through engineering.
Own the compliance program: Run SOC 2 end to end, including the auditor relationship, evidence collection and interpretation in Vanta, and continuous audit readiness as our infrastructure evolves. Help lay the groundwork for AI governance frameworks like ISO 42001.
Bring rigor to PHI governance: Build and maintain an authoritative inventory of where PHI lives and which systems and models touch it, and surface and close HIPAA and governance gaps.
Investigate controls first-hand: Use AI coding assistants analytically to verify whether a control (for example, encryption at rest) is actually implemented, producing clear, evidenced answers without engineering hand-holding.
Stand up vendor and AI-model risk reviews: Build and run the security review process for new vendors and AI model providers, partnering with legal and finance to bring every vendor into the fold with a documented risk assessment.
Drive risk to closure: Partner with engineering to enumerate, prioritize, and remediate security risks on a predictable, auditable cadence, and author the security and compliance policies that engineering, legal, and GTM teams can actually follow.
Be the front door for customer trust: Serve as first point of contact for RFPs and security questionnaires, and maintain a trust portal with current, customer-facing evidence.
Hands-on SOC 2 ownership: Senior-level GRC or compliance experience in a SaaS environment, including owning a SOC 2 (or equivalent) audit from evidence collection through auditor sign-off, ideally using a GRC automation platform like Vanta or Drata.
Technical curiosity: Comfortable using an AI coding tool like Claude Code to answer compliance questions directly from source code (you won’t need to write code yourself), and able to threat-model a new vendor: what data it touches, where that data flows, and what controls it needs.
Clear writing and communication: You write policies and standards that hold up to audit and that engineers can actually use, and you work directly and confidently with engineering, legal, and customers.
Startup ownership mindset: You thrive in ambiguity, take a partially built function and make it accountable without waiting for structure to be handed to you, and happily work outside a narrow swim lane.
Nice-to-Have
Broader framework experience: ISO 27001 experience, and exposure to ISO 42001 or other AI governance frameworks.
Regulated-industry background: Experience in healthcare, fintech, or another highly regulated industry.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Ambience Healthcare is looking for a Senior Manager, Growth Marketing to own the execution and measurement of our account-based marketing (ABM) motion. You'll sit within Commercial Marketing, reporting to the Head of Commercial Marketing, and partner closely with Sales to turn a prioritized list of target hospital and health-system accounts into concrete, measured marketing plays.
This is a fully remote role — any time zone.
What You'll Do:
Design and launch account-based marketing plays. Turn Sales' prioritized target-account list into specific, sequenced campaigns tailored to each account's context and blockers.
Own measurement and reporting. Apply Ambience's account-based measurement framework to real data pulled from our CRM and other systems, grade what worked, and report results that shape the next round of plays.
Partner directly with Sales on shared accounts. Work the same target accounts as the sales team, surfacing and resolving discrepancies between marketing's and sales' view of an account before they become blockers.
Coordinate cross-functionally to activate plays. Work with Events, Customer Marketing, and Product Marketing to get the right messaging and content to the right accounts through the right channels.
Build a repeatable ABM operating rhythm. Establish a durable cadence for proposing, running, measuring, and iterating on account-based plays so the function scales beyond any single campaign.
Who You Are:
An experienced B2B marketer. 6–8+ years of marketing experience with direct exposure to a sales-aligned or account-based motion.
Healthcare-tested. You've worked directly with hospitals and health systems — payer-only or life-sciences-only backgrounds don't meet this bar.
Hands-on with CRM/martech. You're comfortable working inside a CRM or marketing platform (Salesforce, HubSpot, Pardot, or similar) to pull and act on your own data.
Measurement-minded. You're skeptical of activity metrics and know how to separate real signal — account or pipeline movement — from noise.
Comfortable with ambiguity. You propose next steps rather than waiting for direction.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
As a Senior Product Manager at Ambience, you'll own a core product area on our clinical AI platform, from your first conversations with clinicians through measurable results with the health systems that use it. Your mission is to make your product accurate, trustworthy, and valuable in some of the most complex, high-stakes workflows in healthcare.
You'll own the product end to end: understanding how clinicians and care teams work today, deciding which problems to solve first, setting the roadmap, shipping with Engineering, Design, and Clinical AI, and measuring results with customers. You'll work on live products that clinicians rely on every day, as well as new capabilities where AI can take on work that people do manually today. As you deliver results, your scope will grow.
You don't need a healthcare background. We're looking for a strong, craft-driven product manager who learns complex domains quickly, and you'll build that depth through time with clinicians, customers, and our Clinical AI team.
Done well, this role makes Ambience indispensable to the clinicians and teams who use it and creates measurable value for the health systems that deploy it.
This is a Senior PM role - you'll work closely with engineering, design, Clinical AI/ML, and GTM teams.
We're a hybrid company headquartered in San Francisco. This role requires being in the SF office 3x/week, plus willingness to visit customers and shadow clinicians.
Product Strategy & Workflow
Define and execute the roadmap for your product area, setting priorities based on clinician and customer needs, product quality, and commercial value, and making clear tradeoffs between fixes and new capabilities.
Spend time with clinicians and operational teams, in person and on site, to understand how their work happens today, and use that understanding to decide what we build.
Own the end-to-end user experience, including how the product fits into existing workflows and EHR integrations, so it saves time instead of adding work.
Partner with our shared platform teams so your product uses the right clinical context. You'll own your product experience, not the cross-product platforms.
Product Quality & Automation
Partner with Engineering, Clinical AI, Design, and domain experts to improve accuracy, completeness, and reliability, and to reduce errors and regressions.
Establish clear evaluations and quality measures for your product, understand where errors happen, and prioritize the ones that matter most.
Define when AI output is ready for human review versus when work can be automated with less manual intervention, validating the approach with customers before expanding autonomy.
Build repeatable approaches for extending the product to new use cases and specialties rather than treating each one as a separate effort.
Customer Outcomes & GTM
Drive adoption and sustained usage. Identify where the product creates friction or doesn't fit existing workflows, and fix it.
Define success before shipping and measure what changes for customers, such as accuracy, time saved, workflow completion, and adoption, working with Data, Care Transformation, and Value Attainment.
Work with customer finance and revenue-cycle teams to measure the value created, distinguishing modeled value from results customers have realized.
Partner with GTM and Product Marketing to communicate what the product does, where it works well, and what value customers should expect.
Must-Haves
5+ years of product management experience, with meaningful ownership of a product area from discovery through delivery and adoption. We care more about the quality of your experience and your rate of growth than years alone.
Track record of rapidly learning a complex domain through firsthand user research and earning the trust of people who know it well.
Strong technical fluency - comfort with AI/ML products, data, APIs, and complex integrations.
Experience shipping user-facing products with complex workflows, multiple users or stakeholders, and real reliability requirements.
Strong product judgment, clear written communication, and comfort making decisions with incomplete information.
Based in SF, available to be in the office 3x/week, with willingness to visit customers and shadow clinicians.
Nice-to-Haves
Experience building ambient AI, LLM, or human-in-the-loop products, or products that automate work previously done by people.
Prior 0-to-1 product experience, or experience improving adoption and quality in a live enterprise product.
Experience with enterprise customers and regulated products.
Healthcare or clinical workflow experience (a plus, not a requirement - we hire on scorecard competencies, not domain pedigree).
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.
About Us:
Here at Ambience, we never set out to be just another scribe. We’re building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems across the country.
Our technology helps providers focus on delivering great care by removing the administrative burden that pulls them away from patients and away from their most impactful work. Ambience delivers real-time coding-aware documentation and clinical workflow support across ambulatory, emergency and inpatient settings at the top health systems in North America.
Our teams operate relentlessly with extreme ownership to build the best solutions for our health system partners. We value candor, positivity and deep thought — and we expect a lot from each other because we know the problems we’re solving truly matter.
Ambience was ranked #1 for Improving the Clinician Experience in the KLAS Research Emerging Solutions Top 20 Report, recognized by Fast Company as one of the Next Big Things in Tech, named one of the best AI companies in healthcare by Inc., and selected as a LinkedIn Top Startup in 2024 and 2025. We’re backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins — and we’re just getting started.
The Role:
Ambience is hiring a Chief of Staff to lead the Office of the President (OOTP) and serve as the operating partner to our President and Co-Founder. The OOTP is a small, high-trust team that works on the company’s most consequential strategic frontiers: partnerships with health systems and technology platforms, ecosystem strategy, adjacent markets, and thought leadership. Decisions being made in healthcare AI right now will shape the industry for years, and this team sits at the center of them.
You’ll be the quarterback of the OOTP, leading a team of about four and partnering with recruiting to build it out. This is a high-proximity role. You’ll spend roughly 20 hours a week alongside the President, quickly become an extension of how he thinks and operates, and over time act as his proxy in rooms he can’t be in. Few roles offer this kind of exposure to a founder, the board, and the full scope of a high-growth company.
Required: Willing to work 3 days a week from the San Francisco office.
What You’ll Do:
Run the OOTP as an operating unit: Hold the full context across every active workstream, set priorities and OKRs, and make sure the right people are on the right problems at the right time. You’ll know when to push, when to steer and when to escalate.
Build and lead the team: Hire, onboard and develop a team of high-caliber operators. Act as a player-coach who rolls up their sleeves when the details get hard, and teach the frameworks that help people solve the next problem on their own.
Drive high-stakes partnerships: Shape the joint value story, run the analysis behind it (financial modeling, market sizing, deal structuring), and coordinate across internal and external stakeholders. When a 72-hour negotiation sprint happens, you’ll be in the room.
Bring the President what he can’t see: Gather insight from across the company and the market, spot issues early, and make sure the President’s time goes to the highest-leverage problems.
Own the written work: Draft and sharpen memos, board materials, keynotes and decision documents that move the company forward.
Build AI-native operating systems: Help scale Ambience’s company-wide knowledge system and run the OOTP as an AI-first team that uses AI for research, first drafts, meeting prep and decision tracking.
Lead through ambiguity: Take problems that fall outside existing team boundaries and drive them to resolution, from first framing to final outcome.
Who You Are:
Proven Operator: You bring 5 to 10+ years of experience with a real operating track record. Consulting or banking can be a great foundation, as long as you’ve also driven results as an operator, not just advised on them.
People Leader: You’ve managed and developed high performers, and you have a clear point of view on how to grow them.
Quantitatively Sharp: You can build a financial model, structure a deal, and reason clearly about unit economics and margin.
Exceptional Writer: Ambience runs on memos. Your writing is clear, precise and organized, because for you writing is thinking.
Extreme Owner: You take hard, ambiguous problems all the way to resolution without needing to be managed through each step. When something goes wrong, you first ask what you could have done differently.
AI-Native Builder: You think about AI as systems that compound over time, not just a faster way to draft an email. We’ll ask what you’ve built with AI in the last six months.
High Slope: We value your growth rate over your starting point. Every six months, you can point to something you couldn’t have done six months earlier.
Mission-Aligned: You’re excited to help shape how AI transforms healthcare, and you want a true partnership with a founder. Mutual fit matters as much to us as any line on your résumé.
Nice to Have:
Experience with foundation models, AI infrastructure or hyperscaler partnerships.
Familiarity with how large health systems buy, implement and adopt technology.
Exposure to adjacent healthcare markets such as revenue cycle, payers or life sciences.
Prior experience in a Chief of Staff, founder’s office, or strategy and operations role at a high-growth startup.
Life at Ambience
Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world.
Join a “dream team” culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.
To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include
Comprehensive medical, dental, and vision coverage for you and your dependents
401(k) with a company match of up to 3% of base salary
A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
Parental leave to support your family needs
Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
Ambience Healthcare is an equal opportunity employer and is committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other legally protected status. We encourage applicants from all backgrounds to apply.
Ambience is committed to supporting every candidate’s ability to fully participate in our hiring process. If you need any accommodations during your application or interviews, please reach out to our Recruiting team at accommodations@ambiencehealthcare.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI.