Engineering Manager, Product

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 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. 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. You’ll shape org design, culture, and process at a critical moment in Ambience’s growth, reporting directly to the Head of Engineering. Required - Willing to work 3 days/week from the San Francisco office. What You’ll Do: - 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. Who You Are: - Experienced hiring manager; has personally hired 7+ engineers, and built teams in fast-paced, high-growth environments - Hands-on Leader: You bring 8+ years of software engineering experience, including 3+ years managing engineers - 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 P