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, Ambience's 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
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 Ambience's 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 problem‑solving 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 trajectory‑changing decisions - the choices that materially shape Ambience's long‑term 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 multi‑threaded initiatives across senior leaders and external partners. Other weeks, you will personally own and execute critical work end‑to‑end. Priorities will shift. Timelines will compress. The work will often be confidential, urgent, and high‑stakes.
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 You'll Accomplish
President Leverage & Decision Support
Act as the President's strategic and operational right hand on the company's 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 We're 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 don't 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 what's 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 Ambience's 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 $165,000-$220,000 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 you're outside this range, we still encourage you to apply - we take an individualized approach to compensation that considers the full picture.
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 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.
Important Note
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 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.