National Strategic Account Executive

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:

As a National Strategic Account Executive, you will own a small portfolio (6-9 accounts) of Ambience’s most strategic and complex health system relationships. This is a senior enterprise role focused on driving large-scale expansion, system-wide adoption, and long-term strategic value within the largest and most influential health systems in the country, while selectively landing new marquee national accounts.

You will operate as the primary executive owner of these relationships navigating evolving stakeholder dynamics, shaping enterprise-wide value narratives, and orchestrating internal and external resources to grow Ambience’s footprint at scale. National Strategic Accounts Representatives are expected to operate with significant autonomy and judgment, balancing near-term expansion execution with long-term strategic positioning across multi-year account horizons.

What You’ll Do:

Own the end-to-end strategic account lifecycle for assigned national accounts, including enterprise expansion, new use case adoption, and long-term value realization

Serve as the primary executive relationship owner for a small number of Ambience’s largest health system partners, maintaining continuity through leadership turnover and strategic shifts

Selectively lead net-new pursuits for top-tier national health systems in partnership with executive leadership and founders

Map complex stakeholder environments and sustain multi-threaded executive engagement across clinical, operational, financial, and IT leadership (CMIO, CMO, CIO, CFO, COO, Revenue Cycle)

Shape enterprise decision criteria and evaluation frameworks so Ambience’s clinical, operational, and financial value (particularly in inpatient settings) is clearly differentiated and prioritized

Conduct deep discovery to understand enterprise workflows, system constraints, and financial drivers, and translate those insights into compelling expansion narratives

Build and maintain CFO-grade ROI models that explicitly tie Ambience’s platform to inpatient documentation integrity, CMI, CDI, coding accuracy, throughput, physician efficiency, and system-level outcomes

Design and execute multi-phase enterprise expansion strategies across facilities, service lines, and capabilities

Negotiate high-value, multi-year enterprise agreements and expansion structures that balance customer outcomes with Ambience’s long-term strategic and financial interests

Navigate internal politics, manage competing incentives, and maintain executive sponsorship through shifting priorities and budget cycles

Orchestrate founders, executive leadership, Product, Care Transformation, Marketing, and RevOps to reinforce value, manage risk, and accelerate expansion initiatives

Maintain disciplined operating rigor, including account strategies, expansion roadmaps, forecasting, and internal executive communication

Who You Are:

You have 8+ years of experience selling and managing complex enterprise software relationships within large health systems or academic medical centers

You have owned and grown a small portfolio of large, multi-year enterprise accounts with demonstrated expansion success