Sr. People Operations & Programs Manager

About Us:

Ambience Healthcare is the leading AI platform for documentation, coding, and clinical workflow, built to reduce administrative burden and protect revenue integrity at the point of care. Trusted by top health systems across North America, Ambience’s platform is live across outpatient, emergency, and inpatient settings, supporting more than 100 specialties with real-time, coding-aware documentation. The platform integrates directly with Epic, Oracle Cerner, athenahealth, and other major EHRs.

Founded in 2020 by Mike Ng and Nikhil Buduma, Ambience is headquartered in San Francisco and backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, Kleiner Perkins, and other leading investors.

Join us in the endeavor of accelerating the path to safe & useful clinical super intelligence by becoming part of our community of problem solvers, technologists, clinicians, and innovators.

As the People Operations Manager, you will own the operational foundation of our People function. This role is responsible for the day-to-day systems, processes, and programs that support the full employee lifecycle and ensure accuracy, compliance, and consistency as the company scales.

This is a hands-on execution role with real ownership. You will be accountable for making sure People operations run reliably across onboarding, payroll coordination, job changes, performance cycles, and off-boarding. You’ll partner closely with Talent, Finance, Legal, IT, and Workplace to ensure that People processes are well-integrated, compliant, and dependable, especially as volume and complexity increase.

This role is well suited for someone who brings strong operational judgment, is comfortable owning critical workflows end to end, and takes pride in building durable systems that reduce risk and friction for employees and the business.

• Own and execute core People operations, including onboarding, employee changes, benefits administration, payroll coordination, and off-boarding
• Design and maintain compliant operational processes that scale without relying on ad hoc fixes or manual workarounds
• Operationalize People programs such as performance reviews, compensation planning, and promotion cycles, ensuring timelines, data integrity, and accurate execution
• Maintain high-quality People data and systems, partnering with Finance and leadership to support reporting, audits, and decision-making
• Manage cross-functional coordination across Recruiting, IT, Security, Finance, Legal, and Workplace to deliver a cohesive employee lifecycle
• Build and maintain clear workflows, documentation, and controls to reduce operational risk and eliminate single points of failure
• Identify gaps, inefficiencies, or risks in People operations and proactively partner with People leadership to address them

• You are a strong People Operations operator who takes ownership of critical systems and processes that impact employees and the business
• You bring 7+ years of experience in People Operations, HR Programs, or Talent Operations, ideally in a scaling or high-growth environment
• You have direct experience executing People programs and workflows with a high degree of accuracy and accountability
• You are detail-oriented and quality-driven, with a high bar for data integrity, compliance, and operational rigor especially in areas related to pay, employment status, and employee records
• You have hands-on experience with HRIS platforms, onboarding tools, and compliance-related workflows, and are comfortable improving or redesigning systems as needed
• You exercise strong judgment around operational and regulatory risk, and know how to partner effectively with Legal, Finance, and external vendors
• You work well cross-functionally, coordinating with Recruiting, IT, Security, Workplace, and Finance to ensure smooth execution without unnecessary complexity
• You are motivated by building reliable, scalable operations and take pride in making complex processes simpler, more transparent, and dependable over time

Pay Transparency

The base compensation for this role is approximately $145,000-$175,000 per year, excluding equity or bonus targets. We’ve…