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 runs on data: which clinicians are adopting the product, how much time it saves them, whether documentation quality holds up across specialties. Getting those answers right—and getting them fast, reproducibly, and in a form a customer can verify—is a hard data engineering problem, and it's the one you'll own. As a Senior Data Engineer, you'll build and run the pipelines that ingest clinical and operational data, model it into governed metrics, and put trusted self-service analytics in front of every team at the company. You'll work cross-functionally with product managers, engineers, clinicians, and GTM to turn raw data into the numbers the whole company, and our customers, make decisions on. If a metric is wrong, stale, or can't be explained, that's yours to fix—and the credibility of our platform rides on you getting it right.
Our Engineering roles are hybrid in our SF office 3x/week.
What You’ll Do:
Own the Trust Layer: Build and run the pipelines that ingest, validate, and transform clinical and operational data at scale—so the metrics powering our AI story are accurate, reproducible, and defensible. If the data breaks, you own the fix.
Enable Insights Across Teams: Partner with engineering, clinical, and product teams to design clear, actionable dashboards and analytics that guide decision-making and improve healthcare outcomes.
Support Scalable Infrastructure: Apply best practices around warehousing, orchestration (Dagster), governance, and RBAC to keep our data systems secure, performant, and ready for rapid innovation as load increases.
Automate Data Ingestion Workflows: Build file-based ingestion pipelines enabling plug-and-play onboarding of external data sources. Develop automated validation, triggering, and error-handling mechanisms for real-time data availability.
Establish Validation & Transformation Pipelines: Implement data validation frameworks using Python or TypeScript, and design transformation layers (SQL, dbt) that standardize and cleanse raw data for analysis and operational workflows.
Deliver Governed, Trusted Analytics: Build and maintain governed metrics and analytical schemas in SQL that stand up to customer and third-party verification, and enable tiered self-service so every employee—technical or not—can answer their own questions without waiting on the data team.
Who You Are:
5+ years in a production Data Engineering role, with hands-on Snowflake experience (data modeling, performance tuning, warehouse administration).
Strong SQL skills and proficiency in Python; experience building ETL/ELT pipelines, data lakes, or warehouses in modern cloud environments.
Solid grasp of data validation, schema design, and scalable architecture.
A clear communicator who can bridge technical and non-technical teams, gather requirements, and present to cross-functional stakeholders.
Mission-driven, thrives in a fast-paced startup environment, and takes ownership of deliverables.
You'll thrive here if you've owned a production pipeline end-to-end and know why observability matters because you've been paged when data went stale; you move fast and take real ownership of data quality; and you're comfortable making calls without a fully-specified ticket. This probably isn't the role for you if you need detailed specs before writing code, or want to stay heads-down away from clinical and business stakeholders.
Nice-to-haves: early-stage startup experience, background in regulated industries (healthcare, finance), and familiarity with dbt, orchestration tools (Airflow, Dagster), or BI tools (Looker, Tableau, Mode).
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 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 in our SF office 3x/wk.
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 7+ years of experience, or equivalent
7+ years of experience tackling zero-to-one engineering challenges, building and scaling systems to meet production SLAs, and navigating architectural trade-offs in distributed systems.
Proficient with modern infrastructure stacks, including cloud providers (AWS, GCP), containers (Docker), queuing systems (Kafka), and databases (Postgres), and flexible across the stack to deliver projects.
Skilled at mentoring engineers while remaining hands-on, driving quality, execution speed, and successful outcomes as a technical leader or engineering manager.
Demonstrated ability to own end-to-end execution, from concept to impactful results, with a focus on building breakthrough product experiences.
Thrives in environments of complexity and ambiguity, prioritizing collaboration and seeking the best ideas regardless of their source.
Values kindness, encouragement, and being a supportive teammate, fostering a mission-aligned and ambitious team culture.
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.
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.
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 in our SF office (3x/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:
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.
Preferred - 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.
Ambience is looking for a Business Operations Lead to serve as an internal operator — taking vague, high-leverage problems and converting them into shipped outcomes that move company KPIs. In this role, you will own cross-functional projects that fall between existing team boundaries, build source-of-truth insights, drive execution from scope through handoff, and stand up the processes and new verticals that allow the company to scale.
This is a highly cross-functional operator role for someone who thrives in ambiguity, builds durable systems from scratch, and raises the bar for execution rigor across an entire organization. It is a high-growth role with broad exposure across the business, and strong performers will have clear paths to increased scope and ownership over time.
Drive high-leverage, cross-functional initiatives end-to-end — from scoping and stakeholder alignment through execution, measurement, and handoff with playbooks.
Redesign implementation workflows to lift site go-live throughput with the same team capacity.
Define pricing and packaging strategy, including SKUs and tiers, pilot with customers, and measure close-rate impact.
Build cross-functional product launch playbooks (Alpha → Beta → GA) covering user rollout, enablement materials, and client education.
Stand up initial RevOps infrastructure including pipe-to-revenue models, rep performance dashboards, ROI frameworks, and stage definitions.
Launch finance tooling MVPs such as license management and automated monthly true-ups.
Deliver project dashboards, KPI specs, short playbooks, and regular update cadences for every initiative.
A clear project portfolio is scoped and prioritized with the hiring manager, with 1–2 initiatives already in active execution.
A repeatable project framework is in place — including dashboards, KPI specs, stakeholder update cadences, and handoff documentation.
Initial deliverables on at least one high-priority workstream (e.g., implementation throughput, pricing, or RevOps discovery) are producing measurable results.
Cross-functional partners across Product, GTM, Care Transformation, and Finance view the BizOps function as a reliable, high-output execution partner.
Early operating cadences and playbooks are documented and ready for transition to permanent owners.
4–8 years in top-tier consulting, BizOps, strategy, or founder/operator roles with clear 0→1 delivery.
Demonstrated wins owning cross-functional initiatives such as pricing, segmentation, rollout throughput, or RevOps/GTM programs.
Strong analytical capability — comfort with Excel/Sheets, reading SQL/BI output, and backing recommendations with data.
Excellent executive communication: crisp memos, clear asks, and tight stakeholder management.
High learning slope: picks up new domains fast, thrives with autonomy, low ego, high ownership.
Systems thinking: turns messy processes into simple, durable mechanisms including cadences, SLAs, and dashboards.
Healthcare or other regulated industry experience.
Hands-on familiarity with modern data stacks as a consumer or partner, such as Snowflake, dbt, and Sigma.
Experience building operating cadences in high-growth SaaS startups.
Familiarity with CRM and RevOps 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.
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.
About the role
We are hiring a Controller to build a scalable, best-in-class accounting function. You will own the monthly close, internal controls, accounting policy, tax compliance, treasury, and compliance, and you will own Ambience's annual external audit. You will partner closely with the VP Finance to shape our financial strategy and serve as the senior accounting voice across the company. This is a hands-on, build-from-the-ground-up role for someone who wants to set the standard for how a high-growth company keeps trustworthy books.
Please note: for this role, SF Bay Area is preferred, however the team is open to candidates based across the USA who would be willing to travel to SF for occasional in-office work (approx 1-3x/quarter).
What you'll do
Own U.S. GAAP-compliant financial statements and the monthly close, bringing process in-house and making it scalable.
Own the annual external audit - preparation, execution, documentation, controls, and reconciliations - and serve as primary auditor liaison.
Establish core accounting policies: revenue recognition (ASC 606), expense management, capitalization, and lease accounting (ASC 842).
Own indirect tax compliance including multi-state SaaS nexus analysis, registration, and remittance. Manage the relationship with external tax advisors for federal and state income tax provision and filings.
Own treasury operations including cash management, disbursements, and bank relationships.
Evaluate and implement accounting systems and automation; streamline the end-to-end order-to-cash process with the deal desk.
Build and lead the accounting team, and manage the outsourced accounting partner (Attivo) for bookkeeping, review, and reconciliation.
Partner with finance and operations on variance analysis, pipeline-to-ARR tracking, and MD&A for leadership and the Board.
Partner with the VP Finance on financial strategy, reporting to the Board, and building the infrastructure to support Ambience's next phase of growth.
Collaborate cross-functionally with Legal, Deal Desk, People, and Product to ensure accounting treatment keeps pace with new contract structures, headcount growth, and product launches.
What you'll bring
8+ years of progressive accounting experience, including at least 2 years in a Controller or Assistant Controller role at a high-growth or venture-backed company.
Deep U.S. GAAP expertise, including revenue recognition (ASC 606), stock-based compensation, and capitalization.
Demonstrated experience leading or supporting an external audit and standing up internal controls.
A track record building scalable close processes and selecting or implementing accounting systems.
Strong cross-functional communication; able to translate accounting into clear narratives for non-finance partners, leadership, and the Board.
CPA required. Big 4 or national firm public accounting experience strongly preferred.
Nice to have
Experience leading a company's annual audit at a venture-backed company (Series B-D).
Familiarity with NetSuite or a comparable ERP and modern close tooling.
Healthcare or SaaS revenue recognition 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.
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:
Ambience is building AI systems that help clinicians deliver better care. At the heart of that work is our clinical AI team: physicians and other clinicians who build, evaluate, and refine the AI that generates clinical documentation used by health systems across the country.
Clinical AI is a new discipline. There is no playbook for it, and the people doing it well combine clinical judgment, technical skill, and the ability to work through ambiguous, fast-changing problems. Our team has grown to the point where it needs more leaders.
We're looking for a Clinical AI Manager to lead a group of clinical AI ICs across two of our product pods. This is a leadership role, but not a purely managerial one: you'll ramp as an IC first, keep doing hands-on work in your pods, and serve as a technical and clinical sounding board for your team.
Our leadership roles are hybrid in our SF office, 3x/week.
What You'll Do:
Team Leadership: Manage and develop ~5 clinical AI ICs across two pods, growing clinicians who are new to tech into strong operators.
Domain Ownership: Own the clinical AI roadmap, quality, and delivery for your pods.
Hands-On IC Work: Carry your own projects within your pods: prompting, evaluation design, error analysis, and clinical content work.
Technical Guidance: Review your team's work, bounce ideas around, and help ICs reason through evaluation and prompting decisions.
Clinical Quality: Bring physician judgment to what our AI produces and represent the clinical perspective with product, engineering, and customers.
Coaching: Help your ICs build strong execution habits: project planning, timelines, and proactive communication.
Hiring: Interview and evaluate candidates as we grow the team.
Who You Are:
Physician (MD or DO) who completed residency and has practiced clinically.
3-5+ years at a tech company after (or alongside) clinical practice.
Has managed formal direct reports at a tech company.
Technically fluent: some coding ability, comfortable with AI concepts, and able to understand and review what your ICs are building. Hands-on LLM product experience (prompting, evaluations, error analysis) is a strong plus.
Strong executor: reliable, organized, and proactive. People trust you to own things end to end.
Comfortable with ambiguity: our problems are fast-changing and rarely arrive well-defined.
Startup experience is a plus; excitement for the pace and ownership of one is a must.
Willing to work from our San Francisco office 3x/week.
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.