Senior Engineering Manager, Product Engineering

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:

Ambience is hiring a Senior Engineering Manager of Product Engineering to lead and scale our core engineering teams as we build the category-defining AI platform for healthcare. You’ll partner closely with product, design, and clinical teams to translate ambitious ideas into production-ready systems that are scalable, maintainable, and loved by end users.

This role is responsible for growing the team from 5 to 10+ engineers, building high-functioning pods around product domains, and delivering features that have a direct impact on clinician efficiency and patient outcomes. You’ll shape org design, culture, and process at a critical moment in Ambience’s growth, reporting directly to the Head of Engineering.

What You’ll Do:

• Build the Team: Help grow and shape a high-performing engineering group by hiring, onboarding, and developing strong ICs. Partner closely with recruiting and tap into your own network to attract and close exceptional talent.

• Design for Speed and Autonomy: Architect the engineering team for high ownership and product velocity. Set clear team charters, rituals, and scopes of responsibility.

• Drive Product Impact: Ship major customer-facing initiatives that expand Ambience’s enterprise footprint, while raising the bar on quality and performance.

• Coach and Grow Managers: Mentor EMs or TLs, create pathways for career growth, and promote a culture of feedback, execution, and high agency.

• Set Engineering Standards: Lead on architecture, code quality, release reliability, and data integrity. Establish best practices and ensure consistency across pods.

• Partner Cross-functionally: Collaborate deeply with PM, Design, and Clinical SMEs to ensure strong planning, discovery, and delivery practices across the product lifecycle.

• Lead Through Ambiguity: Translate high-level business goals into actionable plans, unblocking teams and delivering results in fast-moving and uncertain environments.

Who You Are:

• Experienced hiring manager; has personally hired 7+ engineers, and built teams in fast-paced, high-growth environments

• Hands-on Leader: You bring 8+ years of software engineering experience, including 3+ years managing engineers

• Technically Credible: You’ve built and scaled distributed systems, shipped backend and full-stack features in SaaS environments, and can go deep on technical decisions when needed.

• Product-Oriented: You know how to collaborate with PM and Design, think in terms of user outcomes, and ensure your team is always building the right thing.

• Execution-Focused: You take pride in delivering on ambitious goals. You know how to align a team, debug process issues, and accelerate throughput.

• Culture Shaper: You build inclusive teams with strong feedback and trust cultures. You lead with empathy and set a high bar for engineering maturity and ownership.

• Mission-Aligned: You’re excited by our vision to improve healthcare through AI and motivated by the opportunity to build a platform that makes a real-world impact.

Nice-to-haves:

• Experience in enterprise SaaS or healthtech

• Prior experience at high-growth Series B–D startups

• A personal network of Bay Area engineers or managers

• History of technical thought leadership (talks, blogs, open-source)

Pay Transparency

We offer a base compensation range of approximately $265,000–$325,000 per year, exclusive of equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.
Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.

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

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.