AI-First Product Manager

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. THE ROLE As our AI-First PM, you'll own the transformation of how Ambience operates internally - turning fragmented, manual workflows into structured, AI-powered systems that preserve clarity and accelerate execution as we scale. We serve thousands of clinicians across leading health systems, and the internal operations that support that growth - sales, marketing, hiring, finance, customer success - need to be just as intentional and well-built as the products we ship externally. This person treats every internal function as a product: understanding the job to be done, mapping inputs and outputs, re-engineering processes, and deploying AI capability aimed at making teams faster, more aligned, and less dependent on tribal knowledge. The guiding question is always: "If we had to scale this function purely through software and AI, how would we do it?" This is not a strategy-only role. You must be a builder - comfortable configuring tools, writing prompts, standing up AI-powered workflows, and iterating directly with business teams. You sit at the intersection of process design, AI tooling, and cross-functional influence, and you ship working systems, not slide decks. This role reports directly to the President. You'll work closely with every function across the company. We're a hybrid company headquartered in San Francisco. This role requires being in the SF office. WHAT YOU'LL OWN AI-POWERED SYSTEMS: DESIGN, BUILD & DEPLOY - Ship internal AI-powered workflows: Design, build, and deploy AI-driven systems that automate high-value internal processes across the company - from meeting prep and pipeline reviews to status reporting and cross-functional updates. - Follow a rigorous build cycle: Start with the process, not the tool. Re-engineer how work actually gets done, identify authoritative data sources, build with human-in-the-loop accountability, and iterate based on real usage. - Measure and prove value: Every system you ship should demonstrably save time or improve quality vs. the prior manual process. You own the before/after story. PROCESS DISCOVERY & OPPORTUNITY MAPPING - Understand how teams actually work: Embed with business functions across the company to identify where people waste time on synthesis, context-chasing, or manual reporting. - Build a prioritized opportunity backlog: Turn observations into clear problem statements with estimated impact and readiness for AI automation - directly shaping where you invest next. - Make the playbook repeatable: Your discovery process should scale beyond you - building a methodology others can run as the company grows. AI GOVERNANCE & ENABLEMENT - Define the rules of the road: Establish clear, practical guidelines for how the company uses AI - what's approved, what data goes where, and how to stay secure without slowing people down. - Accelerate adoption, not friction: Your governance work should remove ambiguity and make people faster, not slower. This is a living system that evolves as tooling evolves. - Own the internal AI tooling stack: Ensure teams have access to the right tools and data infrastructure so AI-powered workflows operate on authoritative, real-time data. CONTEXT INFRASTRUCTURE & CROSS-FUNCTIONAL SYSTEMS - Solve the "Context Debt" problem: Build systems that ensure the right information flows to the right people at the right time - reducing the knowledge gaps that naturally emerge as the company scales. - Design accountability into every system: Every workflow you build has a clear human owner responsible for output quality. You care as much about adoption and trust as you do about the technology. WHAT WE'RE LOOKING FOR MUST-HAVES - 5+ years of product management, operations, or systems-building experience with a strong bias toward shipping working solutions. - Demonstrated experience building AI-powered workflows, automations, or internal tooling that delivered measurable impact - not just strategy decks or proofs of concept. - Technical fluency in AI tooling (LLMs, prompt engineering, MCP servers, API integrations, workflow orchestration) - you don't need to be an engineer, but you need to be able to build. - Strong process re-engineering instinct: you start with the workflow, not the tool, and you know that automating a broken process just produces broken outputs faster. - Cross-functional influence without authority - you can get Sales, Finance, Customer Success, and Engineering teams to adopt new systems through trust and demonstrated value. - Comfort with ambiguity and speed - you orient quickly, make decisions with incomplete information, and iterate in public. - Based in SF, available to be in the office regularly. NICE-TO-HAVES - Experience in healthcare technology - HIPAA, SOC 2, EMR integrations. - Background in internal operations, BizOps, or RevOps at a high-growth startup. - Familiarity with the modern AI ecosystem - Claude, GPT, MCP protocol, Notion/Slack integrations, and similar tooling. - Experience running change management or adoption programs for new internal systems. - Prior experience at a company that operated with an "AI-first" or "context amplification" philosophy. PAY TRANSPARENCY The base compensation for this role is approximately $200,000–$250,000 per year, excluding equity and bonus. We've built in a wide range so candidates have flexibility in how they balance cash and equity. We lean toward generous equity grants - we want the people building Ambience to share meaningfully in what they create. If you're outside the stated range, we'd still encourage you to apply. We take an individualized approach to compensation. 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. This could be the right place for you if you want to - Work on mission-critical AI technology that directly improves clinicians’ day-to-day lives and health system financial health across some of the most complex, high-stakes workflows in the world. - Join a “dream team” culture where 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. - Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion. To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond. Some of our key benefits include - Comprehensive medical, dental, and vision coverage for you and your dependents - 401(k) with a company match of up to 3% of base salary - A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based. - Parental leave to support your family needs - Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered - 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. 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 recruiting@ambiencehealth.com. We’ll handle your request confidentially and work with you to ensure an accessible and equitable experience for all candidates. Ambience Healthcare has become aware of scams targeting jobseekers with fake jobs and even interviewing people. Our emails will always come from @ambiencehealthcare.com. We would never our ask candidates to download apps or make any form of payment(s). If you are contacted through WhatsApp, Telegram, similar but fake email domains, or asked to make a payment, these contacts are not legitimate. Report the issue immediately to LinkedIn and the FBI https://www.fbi.gov/how-we-can-help-you/scams-and-safety.