Executive Assistant to the President

Reposted 5 Days Ago
San Francisco, CA, USA
In-Office
130K-200K Annually
Senior level
Artificial Intelligence • Healthtech
This isn’t just AI. It’s a reimagining of what healthcare could be.
The Role
Serve as a strategic, high-trust partner to the President, owning their operating cadence, communications, high-stakes external moments, and 1-2 cross-functional initiatives. Build systems to increase executional velocity, draft executive-ready materials, triage inbound communications, and ensure decisions convert to action. Regular in-office presence required and role designed to grow into broader leadership operations over time.
Summary Generated by Built In

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

The mission of the Executive Assistant to the President is to act as a strategic extension of the President – protecting time, accelerating execution, and eliminating friction across the company.

In this role, you will own the executive operating system that enables the President to focus on the highest-leverage work. You will architect structure around priorities, translate complexity into clarity, and ensure decisions turn into action quickly and reliably.

This is not a traditional administrative role. You will operate as a high-trust partner at the center of internal and external momentum – building systems, driving follow-through, and representing the President with judgment, discretion, and precision.

This is a highly impactful role for someone who thrives at founder pace, enjoys ambiguity, and wants to grow into a leadership-caliber operator over time.

This role is required to be in office regularly (minimum 3 days/week).


What You’ll AccomplishDesign and Sustain the President’s Operating Engine
  • Architect a cadence of meetings, work blocks, and executive rituals aligned to top company priorities

  • Prepare concise, high-context one-pagers outlining decisions, trade-offs, and key context

  • Ensure follow-ups are tracked and executed within 24–48 hours

  • Create leverage such that the President feels materially more focused and effective

Accelerate Communications Flow & Strategic Filtering
  • Triage inbound communications with speed and judgment, resolving or escalating within hours

  • Draft internal and external communications in the President’s voice with clarity and precision

  • Improve stakeholder response speed and clarity across the organization

Own High-Stakes External Moments
  • Execute board meetings, investor updates, executive briefings, and travel with flawless attention to detail

  • Deliver polished materials that are error-free and executive-ready

  • Serve as a trusted proxy in high-stakes contexts when appropriate

Lead Strategic Projects & Shadow Execution
  • Own 1–2 cross-functional or ambiguous initiatives end-to-end

  • Shadow key meetings and ensure decisions translate into motion

  • Build systems that reduce chaos and create clarity without constant oversight

Grow into a Leadership-Caliber Operator
  • Expand ownership into adjacent operational domains over time

  • Contribute meaningfully to planning and strategic discussions

  • Continuously refine how the Office of the President operates


What We’re Looking ForExperience & Background
  • 5+ years in a high-level Executive Assistant, Chief of Staff, or operational role

  • Experience supporting a founder or C-level executive

  • Exceptional written and verbal communication skills

  • San Francisco-based and excited to work full-time in-office

How You Operate
  • Leverage-oriented thinker: you build systems, not just complete tasks

  • High judgment: you know what to own, what to block, and what to escalate

  • Executional velocity: you move quickly without sacrificing quality

  • Extreme ownership: nothing falls through the cracks

  • Founder-stage fit: you thrive in ambiguity, pace, and high standards

  • Deep discretion and trustworthiness:

Nice to have:

  • Experience in venture-backed technology, finance, or healthcare

  • Exposure to investor relations, board support, or private equity/investment banking environments


Why This Role Matters

The President’s effectiveness is a force multiplier for Ambience. This role directly shapes how strategy turns into execution, how decisions turn into results, and how internal and external stakeholders experience leadership.

You will help build the operating backbone behind the Office of the President – increasing leverage, clarity, and speed across the company.

For the right person, this is an opportunity to operate at the highest level of trust and visibility, grow into broader leadership ownership over time, and meaningfully impact the trajectory of Ambience.

Pay Transparency

The base compensation for this role is approximately $130,000–$200,000 per year, excluding equity or bonus targets. We intentionally offer a wide range to support flexibility around cash and equity. We believe strongly in equity ownership and want team members to share meaningfully in the impact they create.

If you’re outside this range, we still encourage you to apply — we take an individualized approach to compensation that considers the full picture.

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.

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The Company
HQ: San Francisco, CA
160 Employees
Year Founded: 2020

What We Do

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.

Why Work With Us

We’re building real-world solutions that tackle high-stakes problems in healthcare. You’ll work fast, learn from exceptional peers, own ambitious challenges, and see your impact quickly. Your ideas matter here, and your work truly helps clinicians, patients, and the future of care.

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