Strategic Finance Lead

Ambience Healthcare

$190K — $225K *
US-AnywhereRemote in United States
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 6-10 years in strategic finance or FP&A at high-growth SaaS or tech firms.
  • Experience managing comprehensive financial models and annual planning.
  • Strong knowledge of SaaS metrics and revenue modeling.
  • Ability to cross-collaborate with senior leaders across departments.
  • Exceptional skills in communicating complex financial data to executives.
  • Proven track record of proactive ownership in finance roles.

Responsibilities

  • Own and update Ambience's 2-year financial model and P&L forecast.
  • Lead the complete annual planning process, coordinating with department heads.
  • Establish a monthly reporting system for budget variance and cash forecasting.
  • Prepare financial materials for quarterly board meetings with key insights.
  • Construct revenue forecasting models in collaboration with GTM and RevOps teams.
  • Ensure accurate margin representation during customer deal engagements.

Benefits

  • Comprehensive medical, dental, and vision coverage for you and your dependents.
  • 401(k) match of up to 3% of base salary.
  • Remote-friendly culture with full equipment provisioning.
  • Parental leave to support family needs.
  • Annual company-wide and team off-sites with travel and lodging covered.
  • Flexible time off with no cap, plus an annual holiday shutdown.
Full Job Description
Summary

Ambience is looking for a Strategic Finance / FP&A Lead to own and scale the company's financial forecasting, planning, and reporting infrastructure. In this role, you will build and maintain the financial models that drive high-confidence decision-making across GTM, Product, and Executive leadership. You will bring discipline to top-line modeling, support investor and board storytelling, and partner with accounting to ensure forecasting practices are GAAP- and audit-ready.

This is not a back-office finance role. You will be embedded in the business, working directly with sales, product, and operations leaders to translate operational reality into forward-looking financial visibility. The right person combines deep SaaS finance fluency with the ability to operate independently in a fast-moving, high-growth environment.

What you will accomplish
  • 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 a 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.
  • Represent finance at deal desk to ensure effective margin representation across customer engagements.
Early success indicators (first 3 to 6 months)
  • Full ownership of the financial model and monthly forecast is transitioned, with a clear cadence for updates and scenario modeling.
  • Monthly reporting for forecast vs. actuals is stood up and running within 3-5 business days of close, with variance commentary that surfaces operational drivers.
  • A bottoms-up budgeting process is launched and underway with department leads, rolling into the operating model.
  • Financial preparation for board materials is delivered on time, with polished and exec-ready outputs that translate complex models into clean insights.
  • Pipeline-to-revenue forecasting models are operationalized, improving accuracy of long-range CARR forecasts.
What we look for (must-have qualifications)
  • 6-10 years in strategic finance, FP&A, or investment banking with progression into operating roles at high-growth SaaS or technology companies.
  • Direct experience owning company-wide financial models and annual planning processes, including multi-year P&L forecasting and scenario analysis.
  • Strong fluency in SaaS metrics, cohort-based revenue modeling, and enterprise sales finance (pipeline conversion, rep productivity, CARR/ARR).
  • Demonstrated ability to partner cross-functionally with GTM, Product, and G&A leaders to align financial planning with business strategy.
  • Excellent executive communication: translates complex financial models into crisp, defensible insights for leadership and board audiences.
  • High ownership mentality: independently manages forecast updates, builds repeatable processes, and drives automation without hand-holding.
Nice-to-have qualifications
  • Healthcare or other regulated industry experience.
  • Experience partnering closely with Accounting on GAAP revenue recognition, close processes, and audit readiness.
  • Familiarity with modern planning and BI tools such as Adaptive, Pigment, Sigma, or similar.
  • Experience supporting fundraising processes or investor relations at a venture-backed company.
  • Background in management consulting or investment banking prior to operating roles.


Pay Transparency

The base compensation for this role is approximately $190,000 to $225,000 per year, excluding equity or bonus targets. The range is intentionally broad to allow candidates flexibility in choosing the cash and equity mix that fits their needs. We place strong emphasis on meaningful equity grants so that contributors share directly in the value they help create.

If your expectations fall outside of this range, we still encourage you to apply. We tailor compensation for each candidate based on the factors most relevant to their situation.

Life at Ambience

Working at Ambience means opting into a high-ownership, high-trust environment built for people who want to grow fast, operate decisively and focus on work that matters. This could be the right place for you if you want to
  • 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.
  • Join a "dream team" culture where we hire exceptional people, expect exceptional outcomes and invest deeply in feedback and continuous growth. We operate as a championship team, and that means being ok with hard, uncomfortable, ambiguous problems that lead to real greatness.
  • Operate with real ownership and accountability in an environment where there are no bystanders: If something is broken, we fix it! You will have meaningful autonomy and be expected to drive work to completion.

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
  • 401(k) with a company match of up to 3% of base salary
  • A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you're based.
  • Parental leave to support your family needs
  • Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
  • 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.

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