People Operations 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.

As the People Operations Manager, you will own the operational foundation of our People function. This role is responsible for the day-to-day systems, processes, and programs that support the full employee lifecycle and ensure accuracy, compliance, and consistency as the company scales.

This is a hands-on execution role with real ownership. You will be accountable for making sure People operations run reliably across onboarding, payroll coordination, job changes, performance cycles, and off-boarding. You’ll partner closely with Talent, Finance, Legal, IT, and Workplace to ensure that People processes are well-integrated, compliant, and dependable, especially as volume and complexity increase.

This role is well suited for someone who brings strong operational judgment, is comfortable owning critical workflows end to end, and takes pride in building durable systems that reduce risk and friction for employees and the business.

• Own and execute core People operations, including onboarding, employee changes, benefits administration, payroll coordination, and off-boarding

• Design and maintain compliant operational processes that scale without relying on ad hoc fixes or manual workarounds

• Operationalize People programs such as performance reviews, compensation planning, and promotion cycles, ensuring timelines, data integrity, and accurate execution

• Maintain high-quality People data and systems, partnering with Finance and leadership to support reporting, audits, and decision-making

• Manage cross-functional coordination across Recruiting, IT, Security, Finance, Legal, and Workplace to deliver a cohesive employee lifecycle

• Build and maintain clear workflows, documentation, and controls to reduce operational risk and eliminate single points of failure

• Identify gaps, inefficiencies, or risks in People operations and proactively partner with People leadership to address them

• You are a strong People Operations operator who takes ownership of critical systems and processes that impact employees and the business

• You bring 7+ years of experience in People Operations, HR Programs, or Talent Operations, ideally in a scaling or high-growth environment

• You have direct experience executing People programs and workflows with a high degree of accuracy and accountability

• You are detail-oriented and quality-driven, with a high bar for data integrity, compliance, and operational rigor especially in areas related to pay, employment status, and employee records

• You have hands-on experience with HRIS platforms, onboarding tools, and compliance-related workflows, and are comfortable improving or redesigning systems as needed

• You exercise strong judgment around operational and regulatory risk, and know how to partner effectively with Legal, Finance, and external vendors

• You work well cross-functionally, coordinating with Recruiting, IT, Security, Workplace, and Finance to ensure smooth execution without unnecessary complexity

• You are motivated by building reliable, scalable operations and take pride in making complex processes simpler, more transparent, and dependable over time

Pay Transparency

The base compensation for this role is approximately $145,000-$175,000 per year, excluding equity or bonus targets. We’ve intentionally allocated a wider range so that candidates have more flexibility to choose the desired cash/equity split that works for them. Philosophically, we lean towards generous equity grants so that our team truly gets to share in the impact they 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.

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 [email protected]. 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.