Senior People Operations Generalist

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the Mission District in San Francisco, the SoHo neighborhood of New York, and East Liberty in Pittsburgh.

Abridge is looking for a detail-oriented, compliance-savvy, and empathetic Senior People Operations Generalist to join our People team. This role is ideal for someone who thrives in the details, brings sharp expertise in employment law and regulatory requirements, and can deftly balance the administration of complex processes with people-first communication.

As our Senior People Operations Generalist, you’ll take point on critical operational areas including immigration, compliance reporting, benefits administration, and leave management. You’ll partner closely with the Head of People Operations and others across the People team to ensure we’re not just buttoned up — we’re ahead of the curve.

This is a high-impact, foundational role for a trusted operator who wants to help build scalable, human-centered processes in a fast-moving startup environment.

• Own immigration processes end-to-end for employees and candidates, including visa applications, renewals, audits, and partnership with legal counsel.

• Manage compliance programs, including audits, harassment prevention training, and other regulatory mandates.

• Lead compliance reporting requirements such as EEO-1, VETS-4212, and state-specific filings, ensuring timely and accurate submissions.

• Administer employee benefits and leaves, including health and wellness programs, paid and unpaid leaves (e.g., FMLA, ADA, parental), and benefits enrollments and renewals.

• Partner on policy development and updates for our multi-state employee base, ensuring clarity, compliance, and alignment with our culture.

• Maintain internal documentation (policies, calendars, audit trails) and build scalable processes that can flex with our team’s growth.

• Support audits and respond to regulatory inquiries with thorough, organized documentation and process transparency.

• Collaborate cross-functionally with Payroll, Legal, Finance, and IT to deliver seamless employee experiences.

• 5+ years of experience in People Operations or HR roles with hands-on responsibility in immigration, compliance, and benefits.

• Deep working knowledge of US immigration processes (H-1B, TN, O-1, Green Card, etc.) and experience coordinating with outside counsel.

• Strong understanding of federal and multi-state compliance requirements, including leave laws, wage and hour rules, and training mandates.

• Prior experience administering benefits and leave programs (including short- and long-term disability, FMLA, and local ordinances).

• Experience owning compliance reporting processes and preparing data for audits or external filing.

• Deep expertise in Rippling — not just as a user, but a power operator. You’ve built workflows, maintained data integrity, and know how to get the most out of the platform to support efficient, compliant operations. Strong familiarity with documentation tools and reporting dashboards.

• Track record of writing and maintaining employee policies and handbooks across multiple states.

• High attention to detail and ability to independently prioritize in a fast-paced environment.

• Excellent written and verbal communication skills — you know how to make legal and operational information accessible to employees.

• Experience working in a startup or high-growth environment.

• Familiarity with HR systems and the ability to troubleshoot and configure workflows.

• A collaborative spirit and a passion for building people processes that are efficient, compliant, and human.

• A bias for action and comfort with ambiguity—we're building as we go.

This role is a hybrid position in our San Francisco office (Tues, Weds, Thurs in office)

At Abridge, we’re transforming healthcare delivery experiences with generative AI, enabling clinicians and patients to connect in deeper, more meaningful ways. Our mission is clear: to power deeper understanding in healthcare. We’re driving real, lasting change, with millions of medical conversations processed each month.

Joining Abridge means stepping into a fast-paced, high-growth startup where your contributions truly make a difference. Our culture requires extreme ownership—every employee has the ability to (and is expected to) make an impact on our customers and our business.

Beyond individual impact, you will have the opportunity to work alongside a team of curious, high-achieving people in a supportive environment where success is shared, growth is constant, and feedback fuels progress. At Abridge, it’s not just what we do—it’s how we do it. Every decision is rooted in empathy, always prioritizing the needs of clinicians and patients.

We’re committed to supporting your growth, both professionally and personally. Whether it's flexible work hours, an inclusive culture, or ongoing learning opportunities, we are here to help you thrive and do the best work of your life.

If you are ready to make a meaningful impact alongside passionate people who care deeply about what they do, Abridge is the place for you.

• Generous Time Off: 13 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees.

• Comprehensive Health Plans: Medical, Dental, and Vision plans for all full-time employees. Abridge covers 100% of the premium for you and 75% for dependents. If you choose a HSA-eligible plan, Abridge also makes monthly contributions to your HSA. 

• Paid Parental Leave: 16 weeks paid parental leave for all full-time employees.

• 401k and Matching: Contribution matching to help invest in your future.

• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.

• Learning and Development Budget: Yearly contributions for coaching, courses, workshops, conferences, and more.

• Sabbatical Leave: 30 days of paid Sabbatical Leave after 5 years of employment.

• Compensation and Equity: Competitive compensation and equity grants for full time employees.

• ... and much more!

Abridge is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.