Senior FP&A Manager

About Ambience Healthcare

Ambience is building the AI intelligence platform that restores humanity to healthcare and drives meaningful ROI for health systems. Our technology helps providers focus on delivering great care by removing administrative burden through real-time coding-aware documentation and clinical workflow support across ambulatory, emergency, and inpatient settings at top health systems in North America.

Ranked #1 for Improving the Clinician Experience by KLAS Research, recognized by Fast Company as one of the Next Big Things in Tech, and selected as a LinkedIn Top Startup in 2024 and 2025. Backed by Oak HC/FT, Andreessen Horowitz (a16z), OpenAI Startup Fund, and Kleiner Perkins.

Role Summary

We're seeking a Strategic Finance / Senior FP&A Manager to own and scale the company's financial forecasting, planning, and reporting infrastructure. You will build and maintain financial models that drive high-confidence decision-making across GTM, Product, and Executive leadership. This is not a back-office role—you'll be embedded in the business, working directly with sales, product, and operations leaders to translate operational reality into forward-looking financial visibility.

Key Responsibilities

• Fully own and maintain Ambience's 2-year financial model and rolling P&L forecast, including version control, updates, and internal distribution
• Lead the annual planning process end-to-end, including bottoms-up budgeting, goal alignment with department leads, and integration into the operating model
• Establish and run monthly reporting cadence for forecast vs. actuals, including budget variance analysis, cash forecasting, and key variance commentary
• Lead financial preparation for quarterly board meetings, including top-line forecast updates, performance narratives, and investor-ready materials
• Build forecasting engines that link rep capacity, pipeline stages, and pricing into revenue forecasting, partnering with GTM and RevOps to validate assumptions
• Partner with accounting to ensure forecasting practices are GAAP- and audit-ready
• Support investor and board storytelling with disciplined top-line modeling

What We're Looking For

Deep SaaS finance fluency combined with ability to operate independently in a fast-moving, high-growth environment. You bring analytical rigor, strong communication skills, and the ability to influence cross-functional leaders without direct authority.