Ambience Healthcare

Ambience Healthcare

Engineering Manager, Product

San Francisco · Senior

Sponsorship not specified$226k-$283kDetected 63 days ago
Distributed SystemsFull-Stack DevelopmentRESTProduct ManagementResearchLeadership

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odds of building a lasting career here

59Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level IV)94
Fits your clock70

Sponsors, but it's cap-subject — you still face the weighted lottery (~61% per draw at Level IV). Good if you win; have a cap-exempt backup on your list.

Lottery odds assume a STEM candidate.

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H-1B wage level

the lottery is wage-weighted — each level is one more entry

Level IV · 4×
Level I$80,8701 entry
Level II$121,0142 entries
Level III$161,1383 entries
Level IV$201,2824 entries

This range already reaches Level IV — the maximum four lottery entries.

DOL prevailing wage, 2026-27 wage year · Computer Occupations, All Other (15-1299) · San Francisco-Oakland-Fremont, CA. Wage level is derived by USCIS from the offered wage, occupation and worksite; the occupation shown is inferred from the job title.

Employer immigration record

from this employer's Department of Labor filings

Files H-1B transfers

6 transfer filings in the last year, covering 6 workers. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • Ambience is hiring a Technical Lead Manager of Product Engineering to lead and scale our core engineering teams as we build the category-defining AI platform for healthcare.
  • You'll partner closely with product, design, and clinical teams to translate ambitious ideas into production-ready systems that are scalable, maintainable, and loved by end users.
  • This role is responsible for growing the team from 5 to 10+ engineers, building high-functioning pods around product domains, and delivering features that have a direct impact on clinician efficiency and patient outcomes.

Responsibilities

  • Build the Team: Help grow and shape a high-performing engineering group by hiring, onboarding, and developing strong ICs. Partner closely with recruiting and tap into your own network to attract and close exceptional talent.
  • Design for Speed and Autonomy: Architect the engineering team for high ownership and product velocity. Set clear team charters, rituals, and scopes of responsibility.
  • Drive Product Impact: Ship major customer-facing initiatives that expand Ambience's enterprise footprint, while raising the bar on quality and performance.
  • Coach and Grow Managers: Mentor EMs or TLs, create pathways for career growth, and promote a culture of feedback, execution, and high agency.
  • Set Engineering Standards: Lead on architecture, code quality, release reliability, and data integrity. Establish best practices and ensure consistency across pods.
  • Partner Cross-functionally: Collaborate deeply with PM, Design, and Clinical SMEs to ensure strong planning, discovery, and delivery practices across the product lifecycle.
  • Lead Through Ambiguity: Translate high-level business goals into actionable plans, unblocking teams and delivering results in fast-moving and uncertain environments.
  • 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.

Requirements

  • Hands-on Leader: You bring 8+ years of software engineering experience, including 3+ years managing engineers
  • You know how to align a team, debug process issues, and accelerate throughput.
  • Experience in enterprise SaaS or healthtech
  • Required - Willing to work 3 days/week from the San Francisco office.

Compensation

  • 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
  • Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24-January 1 designed to support real rest and long-term sustainability.
  • Ambience Healthcare is an

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.
  • Who You Are:
  • Experienced hiring manager; has personally hired 7+ engineers, and built teams in fast-paced, high-growth environments
  • Technically Credible: You've built and scaled distributed systems, shipped backend and full-stack features in SaaS environments, and can go deep on technical decisions when needed.
  • Product-Oriented: You know how to collaborate with PM and Design, think in terms of user outcomes, and ensure your team is always building the right thing.
  • Execution-Focused: You take pride in delivering on ambitious goals. You know how to align a team, debug process issues, and accelerate throughput.

Equal opportunity

  • equal opportunity employer and is committed to building a diverse and inclusive workplace.
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This listing is sourced directly from Ambience Healthcare's careers page and normalized into a canonical job model.