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Special Projects & Strategic Finance, Office of the President

Ambiencehealthcare · San Francisco · 2026-04-30

FullTimeexecutive
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About this role

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.

ABOUT THE OFFICE OF THE PRESIDENT

The Office of the President (OOTP) is a small, high-trust team that operates across Ambience's most consequential strategic frontiers – partnerships, ecosystem navigation, adjacent markets, and thought leadership. 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 team also drives select internal initiatives, including building AI-native operating systems for knowledge management and organizational learning.

The healthcare AI landscape is evolving rapidly, and the decisions being made now will shape the industry for years to come. Good decision-making requires timely, accurate information – which requires building the right learning networks and ecosystems. That is the OOTP's mandate.

THE ROLE

You will work closely with Mike Ng, President and Co-Founder, and the OOTP's Chief of Staff on the analytical, financial, and strategic work that underpins Ambience's most important external partnerships and market expansion decisions.

The OOTP operates at the pace of the business – which means fire drills, compressed timelines, and deliverables that need to be real enough to use in high-stakes meetings, not polished enough to frame on a wall. You'll receive strategic direction from Mike, translate it into financial models, partnership narratives, competitive analyses, and market sizing exercises, and iterate rapidly as the picture sharpens. The work will be messy before it's clean, and you'll be expected to produce something useful fast, then make it better.

Mike operates in deep alignment with the philosophy outlined in The Great CEO Within by Matt Mochary – a playbook for founder-operators that emphasizes radical prioritization, impeccable agreements, and building leaders who own outcomes rather than just tasks.

WHAT YOU'LL WORK ON:

Partnership strategy and storytelling. When Ambience evaluates a potential strategic partnership, someone needs to build the case: what does the combined offering look like? Where is value created for both sides? What's the revenue and margin impact of co-investing versus going it alone? You'll build these narratives – part strategic slideware, part financial analysis – and pressure-test them with Mike before they go into a room that matters. This is the single most acute need on the team.

Financial modeling and deal support. When partnership negotiations move into deal structuring, you'll build the models that inform Ambience's position – pricing scenarios, margin analysis, revenue projections, sensitivity tables. When a negotiation compresses into a 72-hour sprint, you'll be building and updating models in real time as terms shift. Mike spent 5+ years in private equity and investment banking, so the bar for financial rigor is high.

New market and competitive intelligence. Ambience is continuously evaluating where to expand – new care settings, new product categories, new distribution channels. You'll research and size these opportunities, analyze direct and indirect competitors (their positioning, their true capabilities, their likely future direction), and produce the analyses that inform what to pursue and what to pass on.

Ad hoc strategic analysis. The OOTP handles the problems that don't fit neatly into any one department. One week you might be evaluating a potential acquisition target. The next you might be building a briefing memo for a board meeting. The week after that you might be sizing the economics of a new product category to decide whether it's worth engineering investment. The common thread: these are high-stakes decisions where the quality of the analysis directly affects the outcome, and they tend to arrive on short timelines.

WHAT THIS ROLE IS NOT

We believe in transparency and clarity early on to save everyone time.

This is not a pure strategy role. You will do strategic thinking, but the output is always a deliverable – a model, a deck, a memo, an analysis – that someone can use in a real meeting or negotiation. Thinking without a usable artifact doesn't count.

This is not a generalist operating role. You won't be running team meetings, managing OKRs, or quarterbacking across workstreams. The Chief of Staff owns the OOTP operating system. Your job is to produce the highest-quality analytical and strategic work on the team.

This is not a role where you set the strategic agenda. Mike provides the strategic architecture – the vision, the priorities, the framing for how Ambience should approach a market or a partner. Your job is to take that…

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