Ambience Healthcare

Ambience Healthcare

Financial Controller

Remote - US · Vp

Sponsorship not specified$175k-$250kDetected 30 days ago
RESTAccountingTaxAuditingERPResearchLeadershipCommunicationGAAPTax ProvisionInternal AuditNetSuiteVariance Analysis

About the role

  • We are hiring a Controller to build a scalable, best-in-class accounting function.
  • You will own the monthly close, internal controls, accounting policy, tax compliance, treasury, and compliance, and you will own Ambience's annual external audit.
  • You will partner closely with the VP Finance to shape our financial strategy and serve as the senior accounting voice across the company.

Responsibilities

  • Own U.S. GAAP-compliant financial statements and the monthly close, bringing process in-house and making it scalable.
  • Own indirect tax compliance including multi-state SaaS nexus analysis, registration, and remittance. Manage the relationship with external tax advisors for federal and state income tax provision and filings.
  • Own treasury operations including cash management, disbursements, and bank relationships.
  • Evaluate and implement accounting systems and automation
  • Build and lead the accounting team, and manage the outsourced accounting partner (Attivo) for bookkeeping, review, and reconciliation.
  • Partner with finance and operations on variance analysis, pipeline-to-ARR tracking, and MD&A for leadership and the Board.
  • Partner with the VP Finance on financial strategy, reporting to the Board, and building the infrastructure to support Ambience's next phase of growth.
  • Collaborate cross-functionally with Legal, Deal Desk, People, and Product to ensure accounting treatment keeps pace with new contract structures, headcount growth, and product launches.
  • We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
  • You will have meaningful autonomy and be expected to drive work to completion.

Nice to have

  • Familiarity with NetSuite or a comparable ERP and modern close tooling.
  • Pay Transparency
  • If your expectations fall outside of this range, we still encourage you to apply.
  • We tailor compensation for each candidate based on the factors most relevant to their situation.
  • 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
  • Join a "dream team" culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth.

Compensation

  • The base compensation for this role is approximately $175,000 to $250,000 per year, excluding equity or bonus targets.
  • If your expectations fall outside of this range, we still encourage you to apply.
  • We tailor compensation for each candidate based on the factors most relevant to their situation.
  • Own the annual external audit - preparation, execution, documentation, controls, and reconciliations - and serve as primary auditor liaison.
  • 401(k) with a company match of up to 3% of base salary
  • Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered

Benefits

  • 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.
  • To help you do your best work, we pair these expectations with benefits intentionally designed to help you feel supported and safe at Ambience and beyond.
  • Some of our key benefits include
  • Comprehensive medical, dental, and vision coverage for you and your dependents
  • Parental leave to support your family needs

Company info

  • 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.
  • 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.
  • About the role
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This listing is sourced directly from Ambience Healthcare's careers page and normalized into a canonical job model.