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Salary
$120k – $200k per year
Location
In office (San Francisco)
Seniority
Middle · 3+ years exp
Visa
Filed H-1B visas in the last two years
Employment
Full-Time

Confirmed on the employer's own hiring board on Nov 12, 2026. First seen by Alion on Sep 25, 2026.

Overview
Company
Impact
Profile match
Andy is home health AI for scribing, QA and coding – documentation drafted by AI, confirmed by clinicians, synced to your EMR. See a demo.

Andy completes clinical documentation for nurses who do home visits.

Home health nursing is a $250B industry, where 40% of revenue is spent on administrative tasks. Within 5 years, every nursing note will be done by purpose-built AI.

  • Andy saves nurses 20+ hours per week
  • Nursing agencies hire us to solve labor shortage, reduce churn and slash admin cost
  • Double-digit MoM growth (mostly word-of-mouth & some outbound); near-perfect retention

We’re a small team of engineers (Google/Apple) & clinicians, passionate about improving healthcare in a focused and meaningful way.

What you’ll do

You will design & scale systems from scratch and jump in on the highest-impact projects:

  • Launch AI features to cleverly extract structured data from messy PDFs & audio transcripts
  • Build intuitive UX that make humans more accurate/productive
  • Scale backends and experiment with new tools

Bonus: learn medicine & see how money flows in healthcare.

Who you are

You are a strong generalist engineer who takes end-to-end ownership from idea to launch. You’ll be successful with Andy if you:

  • Ship fast & make good tradeoffs
  • Take a high-level direction & run with it
  • Are excited to dive into LLMs

Who you’ll work with

  • Tiantian

    • Prev. PM at Google’s healthcare division
    • Launched world’s first ever mosquito factory to eliminate Dengue (yes, it works!)
  • Sam

    • Built Google Photos from 0 to 1B; tech lead for Photos Android (100+ eng)
    • Prev engineer at Bump (Sequoia) / Convex (a16z)
  • Sarah

    • Prev. administrator of home health agency
    • Led a 4.5-star agency (read: she’s *really excellent* at documentation)
  • Intro - Zoom meeting with Tiantian (CEO)

  • Technical - Zoom meeting with Sam (CTO)

  • Work trial - Paid project, in person in SF

How to apply: I want to hear about your proudest achievement! Let me know in 1-2 sentences :)

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