Strategic Finance Lead

About Us:

Ambience is developing the most capable AI systems for healthcare and medicine. As healthcare costs soar to 17.3% of US GDP and a projected shortage of 100,000 physicians within the next decade, the need for AI is critical. Our frontline healthcare workers are overwhelmed, with only 27% of the average clinician's day spent on direct patient care.

Our vision is to advance healthcare by empowering clinicians with safe, intelligent AI agents that improve quality, reduce costs, and enhance both patient and provider experiences.

Headquartered in San Francisco, we have secured $100M in funding from top investors, including Kleiner Perkins, OpenAI Startup Fund, Andreessen Horowitz, Optum Ventures, Human Capital, and Martin Ventures. We collaborate with leading AI experts such as Jeff Dean, Richard Socher, Pieter Abbeel, and AIX Ventures.

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

We are looking for a Strategic Finance Lead to take ownership of Ambience’s financial planning and forecasting infrastructure and help us scale through our next stage of growth.

As we prepare for our next chapter — expanding our footprint and investing in GTM, Product / Eng, and Ops — this role will play a critical part in ensuring financial clarity, discipline, and strategic alignment across the company. You’ll serve as a thought partner to business leaders and be responsible for building robust models, streamlining budgets, and informing key decisions across departments.

This is an ideal opportunity for a finance generalist who loves solving problems with structure, thrives in dynamic environments, and brings elite modeling skills paired with strong business intuition.

• Own and maintain Ambience’s financial model and long-term forecast

  Ensure real-time accuracy and transparency of our operating model, incorporating updates across our major functions

• Lead the annual planning and budgeting processes

  Partner with department leads to create bottoms-up budgets, guide resource allocation, and consolidate into a company-wide financial plan

• Establish a monthly forecast vs. actuals reporting cadence

  Build analytics and workflows to track performance, generate insights, and surface key variances for leadership

• Support board and investor financial narratives

  Prepare top-line forecasts and financial storytelling that highlight trends, risks, and performance drivers

• Lead strategic, cross-functional projects end-to-end

  Drive initiatives from scoping to execution in partnership with cross-functional leaders to deliver measurable business value

Must-Have Skills

• 5-8 years in Strategic Finance, FP&A, investment banking, or equivalent startup finance roles

• Elite Excel / Sheets modeling abilities — capable of building multi-driver forecast models quickly and accurately

• Hands-on experience designing and managing full-cycle budgeting processes

• Strong generalist mindset — adept at partnering with GTM, Product / Eng, and Ops leaders

• Excellent written and verbal communication skills; comfort presenting to executive and investor audiences

Nice-to-Have Skills

• Positioned within high-growth and/or Series C+ stage startups

• Exposure to FP&A automation or dashboard tools

• Startup experience — comfortable navigating ambiguity and shifting priorities

Ambience is entering a phase of rapid growth and increasing operational complexity. This role will be instrumental in building the financial infrastructure that supports strategic decision-making across the company. From pioneering forecasting systems to driving budgeting discipline and enabling crisp financial narratives, you’ll help ensure we scale with clarity, confidence, and focus.

The base compensation for this role is approximately $200,000 - $220,000 per year, excluding equity or bonus. We’re providing flexibility so you can strike a cash vs. equity balance that works best for you. Our philosophy is to offer meaningful equity so our team shares directly in the value we build.

Are you outside this range? We encourage you to apply — we consider individual needs and experiences.

This role is hybrid and remote-friendly, but we are targeting individuals in either NYC or SF. Our HQ is in San Francisco, and we welcome candidates across the U.S.

Ambience is building next-gen AI systems that supercharge clinical care. With healthcare spending at 17.3% of U.S. GDP and clinician burnout escalating, our platform harnesses ambient AI to streamline documentation, coding, and patient workflows — freeing clinicians to focus on care. Trusted by UCSF, Cleveland Clinic, and St. Luke’s Health System, our solutions are live across the care spectrum (inpatient, ED, outpatient) and tailored to 100+ specialties.

Backed by leading investors (Kleiner Perkins, OpenAI Startup Fund, a16z, Optum Ventures), we’re scaling fast — and this role will be pivotal in shaping our financial operating rhythm.

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

• Dedicated budget for personal development, including access to world class mentors, advisors, and an in-house executive coach

• 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