Strategic Finance Lead

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.

What We Look For (must-have Qualifications)

• 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.

Nice-to-have Qualifications

• 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.

Pay Transparency

The base compensation for this role is approximately $190,000 to $225,000 per year, excluding equity or bonus targets. The range is intentionally broad to allow candidates flexibility in choosing the cash and equity mix that fits their needs. We place strong emphasis on meaningful equity grants so that contributors share directly in the value they help create. If your expectations fall outside of this range, we still encourage you to apply. We tailor compensation for each candidate based on the factors most relevant to their situation.

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.
• 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.
• We provide meaningful autonomy and expect you to drive work to completion.
• We offer comprehensive medical, dental, and vision coverage for you and your dependents.
• We offer a 401(k) with a company match of up to 3% of base salary.
• We provide a remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
• We offer parental leave to support your family needs.
• We offer annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered.
• We offer 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.

Equal Opportunity Employer

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.