Chief of Staff, Office of the President
About The Position
Ambience is hiring a Chief of Staff to lead the Office of the President (OOTP) and serve as the operating partner to its President and Co-Founder. The OOTP is a small, high-trust team working on strategic priorities including health system and technology platform partnerships, ecosystem strategy, adjacent markets, and thought leadership. The Chief of Staff will lead a team of about four, partner with recruiting to build the team, and work closely with the President—roughly 20 hours a week—becoming an extension of how he thinks and operates and, over time, representing him in meetings when needed. The role requires working three days a week from the San Francisco office. The Chief of Staff will run the OOTP as an operating unit, set priorities and OKRs, lead and develop the team, drive high-stakes partnerships, surface insights and issues for the President, and produce written materials including memos, board materials, keynotes, and decision documents. The role will also help scale the company-wide knowledge system and establish AI-first operating practices for the OOTP, while taking ambiguous, cross-functional problems from initial framing through resolution. Ambience describes its culture as high-ownership and high-trust, with an emphasis on decisive execution, candor, positivity, deep thought, feedback, and continuous growth. The company builds AI technology for healthcare and says its mission is to reduce clinicians’ administrative burden and improve health system outcomes.
Requirements
- Willingness to work three days a week from the San Francisco office.
- 5 to 10+ years of experience and a demonstrated operating track record; consulting or banking experience is suitable when accompanied by results as an operator.
- Experience managing and developing high-performing people.
- Ability to build financial models, structure deals, and reason about unit economics and margin.
- Exceptional writing skills, with clear, precise, and organized communication.
- Ability to take ownership of hard, ambiguous problems and drive them to resolution independently.
- AI-native mindset focused on building systems that compound over time; candidates will be asked what they have built with AI in the last six months.
- Interest in shaping how AI transforms healthcare and in partnering closely with a founder.
Nice To Haves
- Experience with foundation models, AI infrastructure, or hyperscaler partnerships.
- Familiarity with how large health systems buy, implement, and adopt technology.
- Exposure to adjacent healthcare markets such as revenue cycle, payers, or life sciences.
- Prior experience in a Chief of Staff, founder’s office, or strategy and operations role at a high-growth startup.
Responsibilities
- Run the Office of the President as an operating unit, maintain context across active workstreams, set priorities and OKRs, and ensure the right people are focused on the right problems.
- Hire, onboard, manage, and develop a high-caliber team of operators, serving as a hands-on player-coach.
- Shape partnership value propositions; lead associated financial modeling, market sizing, and deal structuring; and coordinate internal and external stakeholders.
- Participate in high-stakes partnership negotiations, including intensive negotiation sprints.
- Gather insights across the company and market, identify issues early, and direct the President’s attention to high-leverage problems.
- Draft and refine memos, board materials, keynotes, and decision documents.
- Help scale Ambience’s company-wide knowledge system and run the OOTP as an AI-first team using AI for research, first drafts, meeting preparation, and decision tracking.
- Lead ambiguous problems that fall outside existing team boundaries from initial framing through resolution.
- Partner with recruiting to build out the OOTP team.
- Work alongside the President and, over time, act as his proxy in meetings he cannot attend.
Benefits
- Comprehensive medical, dental, and vision coverage for employees and dependents.
- 401(k) with company match of up to 3% of base salary.
- Remote-friendly culture and full equipment provisioning.
- Parental leave.
- Annual company-wide and team off-sites, 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 through January 1.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
