Senior HR Business Partner

About this role

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:

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.

What You'll Do:

- 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.

Who You Are:

- 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 across business partnering, employee relations, performance, L&D, org design, and the fundamentals of compensation, with 6+ years of progressive HR experience including direct HRBP and manager-coaching work. You default to systems over heroics and build things that outlast you. This role has no direct reports.

Pay Transparency:

We offer a base compensation range that varies by location tier, exclusive of equity:

- Tier 1: approximately $139,200 - $182,700 per year

- Tier 2: approximately $132,240 - $173,565 per year

- Tier 3: approximately $125,280 - $164,430 per year

These intentionally broad ranges provide flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team members to share directly in the impact they help create.

Are you outside of the range? We encourage you to still apply: we take an individualized approach to ensure that compensation accounts for all of the life factors that matter for each candidate.

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 ex

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