Strategic Finance Lead

About the role

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 is looking for a Strategic Finance / FP&A Lead to own and scale the company's financial forecasting, planning, and reporting infrastructure. In this role, you will build and maintain the financial models that drive high-confidence decision-making across GTM, Product, and Executive leadership. You will bring discipline to top-line modeling, support investor and board storytelling, and partner with accounting to ensure forecasting practices are GAAP- and audit-ready. This is not a back-office finance role. You will be embedded in the business, working directly with sales, product, and operations leaders to translate operational reality into forward-looking financial visibility. The right person combines deep SaaS finance fluency with the ability to operate independently in a fast-moving, high-growth environment. What you will accomplish Fully own and maintain Ambience's 2-year financial model and rolling P&L forecast, including version control, updates, and internal distribution. Lead the annual planning process end-to-end, including bottoms-up budgeting, goal alignment with department leads, and integration into the operating model. Establish and run a monthly reporting cadence for forecast vs. actuals, including budget variance analysis, cash forecasting, and key variance commentary. Lead financial preparation for quarterly board meetings, including top-line forecast updates, performance narratives, and investor-ready materials. Build forecasting engines that link rep capacity, pipeline stages, and pricing into revenue forecasting, partnering with GTM and RevOps to validate assumptions. Represent finance at deal desk to ensure effective margin representation across customer engagements. Early success indicators (first 3 to 6 months) Full ownership of the financial model and monthly forecast is transitioned, with a clear cadence for updates and scenario modeling. Monthly reporting for forecast vs. actuals is stood up and running within 3-5 business days of close, with variance commentary that surfaces operational drivers. A bottoms-up budgeting process is launched and underway with department leads, rolling into the operating model. Financial preparation for board materials is delivered on time, with polished and exec-ready outputs that translate complex models into clean insights. Pipeline-to-revenue forecasting models are operationalized, improving accuracy of long-range CARR forecasts. What we look for (must-have qualifications) 6-10 years in strategic finance, FP&A, or investment banking with progression into operating roles at high-growth SaaS or technology companies. Direct experience owning company-wide financial models and annual planning processes, including multi-year P&L forecasting and scenario analysis. Strong fluency in SaaS metrics, cohort-based revenue modeling, and enterprise sales finance (pipeline conversion, rep productivity, CARR/ARR). Demonstrated ability to partner cross-functionally with GTM, Product, and G&A leaders to align financial planning with business strategy. Excellent executive communication: translates complex financial models into crisp, defensible insights for leadership and board audiences. High ownership mentality: independently manages forecast updates, builds repeatable processes, and drives automation without hand-holding. Nice-to-have qualifications Healthcare or other regulated industry experience. Experience partnering closely with Accounting on GAAP revenue recognition, close processes, and audit readiness. Familiarity with modern planning and BI tools such as Adaptive, Pigment, Sigma, or similar. Experience supporting fundraising processes or investor relations at a venture-backed company.

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