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About the Role
Ambience is seeking a Strategic Finance / FP&A Lead to own and scale the company's financial forecasting, planning, and reporting infrastructure. This role involves building financial models for decision-making, supporting investor relations, and partnering with accounting. The position requires deep SaaS finance fluency and the ability to operate independently in a fast-moving, high-growth environment.
Responsibilities
- Fully own and maintain Ambience's 2-year financial model and rolling P&L forecast, including version control, updates, and internal distribution.
- Lead the annual planning process end-to-end, including bottoms-up budgeting, goal alignment with department leads, and integration into the operating model.
- Establish and run a monthly reporting cadence for forecast vs. actuals, including budget variance analysis, cash forecasting, and key variance commentary.
- Lead financial preparation for quarterly board meetings, including top-line forecast updates, performance narratives, and investor-ready materials.
- Build forecasting engines that link rep capacity, pipeline stages, and pricing into revenue forecasting, partnering with GTM and RevOps to validate assumptions.
- Represent finance at deal desk to ensure effective margin representation across customer engagements.
Requirements
- 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.
Skills
- SaaS finance fluency
- Financial modeling
- Forecasting
- Planning
- Reporting
- Budgeting
- Variance analysis
- Cash forecasting
- Board meeting preparation
- Revenue forecasting
- Deal desk representation
- GAAP revenue recognition
- Close processes
- Audit readiness
- Fundraising support
- Investor relations
Location
- Remote
- San Francisco HQ
Work Type
- Full-time
Experience Level
- 6-10 years
Salary/Compensations
- $190,000 to $225,000 per year
Benefits
- Comprehensive medical, dental, and vision coverage for you and your dependents
- 401(k) with a company match of up to 3% of base salary
- Remote-friendly culture
- Full equipment provisioning
- Parental leave
- 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
- Annual holiday shutdown from December 24–January 1
- Meaningful equity grants
About the Company
- Ambience is 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.
Equal Opportunity
- 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.