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