IT & Automation Lead

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 Linked In 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 scaling fast, and our internal systems need to keep up — securely, automatically, and without slowing anyone down.

You’ll be our first dedicated Corporate IT Lead, owning identity, devices, endpoints, and SaaS access across the company. This is not a ticket-queue role. You’ll build the automation and infrastructure that makes IT disappear for employees while raising the security bar across the board.

You’ll design identity and device systems that scale with headcount, enforce least-privilege by default, and turn manual IT work into code. The goal: secure, compliant internal systems that people don’t think about — because they just work.

Our roles are hybrid in our SF office (3x/week).

Identity & Access Automation — Build Okta joiner/mover/leaver workflows with role-based access, automated provisioning, and clean offboarding. Kill standing access and manual tickets.

Device Management & Endpoint Security — Run Jamf and Intune in a mixed Mac/Windows environment. Zero-touch provisioning, compliance baselines, patching, and end-to-end Zero Trust.

AI-Forward Operations — Improve the customer and employee experience through AI-driven ticketing, intelligent bots, and automated workflows that reduce resolution time and cut manual toil.

Infrastructure as Code — Move IT configs out of admin consoles into Terraform and Git Ops. Version-controlled, peer-reviewed, reproducible changes across identity, MDM, and workspace systems.

SaaS Governance — SaaS inventory:
Provisioning, tools, access, cost, and security reviews and posture. Surface shadow IT, consolidate sprawl, and run access reviews.

7+ years building IT and/or corporate security systems at a startup or high-growth company

Deep Okta experience beyond admin work — you’ve deployed advanced identity programs

Strong hands-on Jamf and Intune experience in Mac/Windows environments

Automation-first:
Terraform, APIs, scripting (Python, Bash, Power Shell), Workflow automation

Comfortable operating across security, IT, and engineering boundaries

Technology person at heart with a passion for the space and does not just see IT as a job

In SF, 3x/week in-person

At Ambience, IT is foundational. The systems you build determine how safely we operate, how fast teams move, and how confidently we scale inside regulated healthcare environments.

You’ll own this function end-to-end at a critical growth moment, with real autonomy, direct access to leadership, and the mandate to replace chaos with clean, automated systems. Small team, high trust, real impact.

Pay Transparency
We offer a base compensation range of approximately $200,000–$225,000 per year, along with meaningful equity. This intentionally broad range provides flexibility for candidates to tailor their cash and equity mix based on individual preferences. Our compensation philosophy prioritizes meaningful equity grants, enabling team…