About Us:

Here at Ambience we never set out to be just another scribe. Were 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 were 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. Were backed by Oak HC/FT Andreessen Horowitz (a16z) OpenAI Startup Fund and Kleiner Perkins and were just getting started.

The Role

Reports to: Ambience President Co-Founder and Chairman - Mike Ng

Work Location: San Francisco HQ (Hybrid 3 days onsite)

The Office of the President exists to answer Ambiences hardest questions: where the company is going how it wins its category and what must be true for Ambience to become the defining healthcare AI platform by 2030.

This office is not a functional team and not an additional management layer. It is a problemsolving nucleus built to help the President see the future more clearly architect the best possible version of Ambience and move the company decisively toward it. The Chief of Staff is the core operating partner within that office.

In this role you help drive trajectorychanging decisions - the choices that materially shape Ambiences longterm direction ecosystem position and competitive advantage. These include decisions around platform evolution strategic partnerships market sequencing external relationships and moments where speed judgment and leverage matter more than consensus.

You do not own strategy in a vacuum nor do you operate with predefined lanes. Instead you take the beginnings of direction from the President a working hypothesis a voice memo a conversation and turn it into concrete progress: framing the problem gathering signal aligning the right people and driving execution until a real decision or outcome is reached.

Some weeks you will quarterback multithreaded initiatives across senior leaders and external partners. Other weeks you will personally own and execute critical work endtoend. Priorities will shift. Timelines will compress. The work will often be confidential urgent and highstakes.

This role is for someone who genuinely wants to be at the tip of the spear working on the most important things in the company at the moment they matter most.

What Youll Accomplish

President Leverage & Decision Support

• Act as the Presidents strategic and operational right hand on the companys most critical initiatives

• Translate high-level direction (e.g. voice memos working sessions early hypotheses and rough ideas) into clear plans decisions and execution

• Prepare pre-reads frameworks and analyses that directly inform executive decision-making

Trajectory-Changing Initiatives

• Own or quarterback the most important projects in the company often with little notice

• Lead fast-moving high-stakes workstreams involving senior internal leaders and external executives (e.g. hyperscalers foundation model partners health system CEOs)

• Navigate confidential time-sensitive initiatives including partnerships negotiations and strategic pivots

Cross-Functional Orchestration

• Bring structure momentum and accountability to complex multi-threaded efforts

• Align stakeholders across Product Engineering GTM Legal Finance and external partners

• Identify bottlenecks early and creatively remove them

Problem Solving Under Ambiguity

• Take loosely defined problems and impose clarity sequencing and decision logic

• Rapidly gather signal test hypotheses and adapt direction as new information emerges

• Operate comfortably across altitudes from executive narrative to detailed execution

What Were Looking For

Must Have

• 5 years of experience in consulting strategy BizOps investing or high-impact operating roles

• Proven ability to solve ambiguous high-stakes problems with limited direction

• Exceptional clarity of thought and communication (especially written)

• Experience working closely with senior executives or founders

• High judgment discretion and comfort handling confidential information

Strong Signals

• You are a fast learner who actively seeks out new information and updates your views as you learn while also valuing feedback debate and mentorship from strong partners

• You are motivated by getting to the truth not by being right; you enjoy having your assumptions challenged are comfortable saying I dont know and move quickly to find out

• You use writing analysis and action as tools to create clarity and drive decisions

• You follow problems through to real outcomes even when the work is unglamorous or cross-functional

• You operate with low ego and high integrity prioritizing whats best for the company over personal scope

• You are highly AI-forward: you actively use AI systems to think learn analyze and communicate operating at roughly a Level 4 AI Fluency (AI as a thinking partner not just a productivity hack)

Nice to Have

• Healthcare enterprise SaaS AI or startup experience

• Experience in partnerships corporate development or complex negotiations

• Experience operating in AI-native environments where decisions are informed by first-principles reasoning rapid learning loops and written synthesis (e.g. memos briefs or decision docs that materially shaped outcomes)

Why This Role Matters

This role sits at the center of Ambiences most important work. You will have unmatched exposure to executive decision-making external ecosystem dynamics and the hardest problems the company faces.

It is also a demanding role requiring flexibility resilience and a genuine desire to serve the mission above personal scope or autonomy. For the right person it will be the fastest learning environment in the company and one of the most impactful roles of their career.

Pay Transparency

The base compensation for this role is approximately $165000$220000 per year excluding equity or bonus targets. We intentionally offer a wide range to support flexibility around cash and equity. We believe strongly in equity ownership and want team members to share meaningfully in the impact they create.

If youre outside this range we still encourage you to apply we take an individualized approach to compensation that considers the full picture.

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 youre 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 24January 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 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.

Required Experience:

Senior IC