Chief of Staff, Office of the President

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.

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.

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

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)

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.

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 [email protected]. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates.
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