{"id":1244974,"url":"https://alion.io/job/andy-ai-founding-engineer-full-stack","title":"Founding Engineer - Full Stack","company":{"id":3779002,"name":"Andy AI","domain":"with-andy.com","url":"https://alion.io/company/andy-ai","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Work at a Startup","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":120000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":true,"technologies":[{"name":"Zoom","optional":false}],"status":"live","first_seen_at":"2026-09-25T17:14:53Z","employer_posted_date":"2026-09-25","last_verified_at":"2026-09-27T23:58:23Z","board_verified":true,"closed_at":null,"days_open":2,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":2},"description":"Andy completes clinical documentation for nurses who do home visits.\nHome 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.\nAndy saves nurses 20+ hours per week\nNursing agencies hire us to solve labor shortage, reduce churn and slash admin cost\nDouble-digit MoM growth (mostly word-of-mouth & some outbound); near-perfect retention\nWe’re a small team of engineers (Google/Apple) & clinicians, passionate about improving healthcare in a focused and meaningful way.\nWhat you’ll do\nYou will design & scale systems from scratch and jump in on the highest-impact projects:\nLaunch AI features to cleverly extract structured data from messy PDFs & audio transcripts\nBuild intuitive UX that make humans more accurate/productive\nScale backends and experiment with new tools\nBonus: learn medicine & see how money flows in healthcare.\nWho you are\nYou are a strong generalist engineer who takes end-to-end ownership from idea to launch. You’ll be successful with Andy if you:\nShip fast & make good tradeoffs\nTake a high-level direction & run with it\nAre excited to dive into LLMs\nWho you’ll work with\nTiantian\nPrev. PM at Google’s healthcare division\nLaunched world’s first ever mosquito factory to eliminate Dengue (yes, it works!)\n\nSam\nBuilt Google Photos from 0 to 1B; tech lead for Photos Android (100+ eng)\nPrev engineer at Bump (Sequoia) / Convex (a16z)\n\nSarah\nPrev. administrator of home health agency\nLed a 4.5-star agency (read: she’s *really excellent* at documentation)\n\nIntro - Zoom meeting with Tiantian (CEO)\n\nTechnical - Zoom meeting with Sam (CTO)\n\nWork trial - Paid project, in person in SF\n\nHow to apply: I want to hear about your proudest achievement! Let me know in 1-2 sentences :)","description_format":"text","description_chars":1800,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Home Care Services","EHR & Clinical Software"],"lifecycle":[{"event":"open","at":"2026-09-25T17:14:53Z"}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":21,"reasons":["conf:2","win:early"],"computed_at":"2026-09-27T05:45:00Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/andy-ai-founding-engineer-full-stack","json_url":"https://alion.io/job/andy-ai-founding-engineer-full-stack.json","meta":{"generated_at":"2026-09-28T01:35:34Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":864,"day_limit":5000,"remaining_today":4136,"minute_limit":60,"resets_at":"2026-09-29T00:00:00Z"}}}