Senior HR Business Partner

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.

Ambience Healthcare is building clinical AI that clinicians actually trust, and we are growing fast. The People function is small and high-leverage, and this is our first dedicated HR Business Partner seat, which means you will build it rather than inherit it. Reporting to the Head of People, you will be a true partner to the business: the everyday point person for our people managers, the owner of how we build manager capability, and the steward of how goals get set and run across the company. We are looking for a problem solver who builds simple, direct solutions, removes friction, and helps leaders make better calls. This is a senior individual contributor role. Preferred: Willing to work 3 days/week from the San Francisco office.

Partner with people managers. Serve as the named point person for our people-leader population, running a set cadence through high-change moments: goal setting, reviews, review writing, engagement, and survey follow-up. Build and deploy manager training. Own the annual training calendar, content, and deployment on top of our Manager Standards program, including first-time manager training and an AI curriculum rolled out across the org. Steward goals and OKRs. Own individual key results, audit goal quality every cycle, and build the tooling to see goal health so that teams learn to self-run good goals rather than depend on chasing. Navigate tough employee decisions. Coach leaders through routine employee relations and the trade-offs of hard calls, and partner on org design, leveling, and headcount for your coverage area in tight alignment with the Head of People. Drive operational efficiency. Automate the recurring People operating rhythm using our existing tools and AI, from goal-health tracking to coverage cadence and survey follow-up.

A partner first. You start from what the business is trying to achieve and shape the people work around it. You embed with leaders rather than operate as a support desk. A problem solver. You see a problem and solve it. You build simple, direct solutions instead of heavy process, and you spot patterns early enough to keep small issues from becoming big ones. A critical thinker who delivers through ambiguity. You structure messy problems and ship in phases rather than waiting for perfect clarity. A trusted advisor on hard calls. You can sit in a difficult employee conversation and help a leader think clearly through the trade-offs, and you carry confidential and sensitive matters with sound judgment. Able to influence without authority. You earn trust fast and move experienced, strong-willed leaders without relying on positional power. A smart generalist and builder. You are fluent