IT & Automation Lead

About Us:

Ambience Healthcare is the leading AI platform for documentation coding and clinical workflow built to reduce administrative burden and protect revenue integrity at the point of care. Trusted by top health systems across North America Ambiences platform is live across outpatient emergency and inpatient settings supporting more than 100 specialties with real-time coding-aware documentation. The platform integrates directly with Epic Oracle Cerner athenahealth and other major EHRs. Founded in 2020 by Mike Ng and Nikhil Buduma Ambience is headquartered in San Francisco and backed by Oak HC/FT Andreessen Horowitz (a16z) OpenAI Startup Fund Kleiner Perkins and other leading investors.

Join us in the endeavor of accelerating the path to safe & useful clinical super intelligence by becoming part of our community of problem solvers technologists clinicians and innovators.

The Role:

Ambience is scaling fast and our internal systems need to keep up- securely automatically and without slowing anyone down.

Youll be our first dedicated Corporate IT Lead owning identity devices endpoints and SaaS access across the company. This is not a ticket-queue role. Youll build the automation and infrastructure that makes IT disappear for employees while raising the security bar across the board.

Youll design identity and device systems that scale with headcount enforce least-privilege by default and turn manual IT work into code. The goal: secure compliant internal systems that people dont think about- because they just work.

Our roles are hybrid in our SF office (3x/week).

What Youll Own:

Identity & Access Automation Architect Okta joiner/mover/leaver workflows with role-based access automated provisioning and clean deprovisioning. Eliminate standing access and manual tickets.

Device Management & Endpoint Security Lead Jamf and Intune migrations in a mixed Mac/Windows environment. Establish compliance baselines zero-touch provisioning patching and secure offboarding.

IT Infrastructure as Code Migrate IT configs out of admin consoles into Terraform and GitOps. Version-controlled peer-reviewed reproducible changes across identity MDM and workspace systems.

SaaS Governance Build a real SaaS inventory: tools access cost and security posture. Identify shadow IT consolidate sprawl and run access reviews that actually get completed.

Who You Are:

7 years building IT and/or corporate security systems at a startup or high-growth company

Deep Okta experience beyond admin work youve designed identity programs

Strong hands-on Jamf and Intune experience in Mac/Windows environments

Automation-first: Terraform APIs scripting (Python Bash PowerShell)

Comfortable operating across security IT and engineering boundaries

Technology person at heart with a passion for the space and does not just see IT as a job

In SF 3x/week in-person

Why Here:

At Ambience IT is foundational. The systems you build determine how safely we operate how fast teams move and how confidently we scale inside regulated healthcare environments.

Youll own this function end-to-end at a critical growth moment with real autonomy direct access to leadership and the mandate to replace chaos with clean automated systems. Small team high trust real impact.

Pay Transparency
We offer a base compensation range of approximately $200000$225000 per year along with meaningful 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. If your expectations fall outside of this range we still encourage you to applyour approach to compensation considers a range of factors to ensure alignment with each candidates unique needs and preferences.

Being at Ambience:

• An opportunity to work with cutting edge AI technology on a product that dramatically improves the quality of life for healthcare providers and the quality of care they can provide to their patients

• Work alongside a world-class diverse team that is deeply mission aligned

• Ownership over your success and the ability to significantly impact the growth of our company

• Competitive salary and equity compensation with benefits including health dental and vision coverage quarterly retreats unlimited PTO and a 401(k) plan with matching

Ambience is committed to supporting every candidates 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 . Well 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 @. 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.