# Founding Engineer - Full Stack

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 T

- **Id**: 1244974
- **Url**: <https://alion.io/job/andy-ai-founding-engineer-full-stack>
- **Role**: Backend
- **Role family**: Backend
- **Seniority**: middle
- **Employment type**: full_time
- **Work mode**: on_site
- **Hiring geo confidence**: structured
- **Locations**: San Francisco, United States
- **Countries**: US
- **Hiring countries total**: 0
- **Experience years min**: 3
- **Visa sponsorship**: no
- **Relocation package**: no
- **Has equity**: yes
- **Status**: live
- **First seen at**: 2026-09-25T17:14:53Z
- **Employer posted date**: 2026-10-21
- **Last verified at**: 2026-11-12T10:52:27Z
- **Board verified**: yes
- **Days open**: 47
- **Description format**: text
- **Description chars**: 1800
- **Description truncated**: no
- **Relocation offered**: no
- **Industries**: Home Care Services, Medical AI

## Company

- **Id**: 3779002
- **Name**: Andy AI
- **Domain**: with-andy.com
- **Url**: <https://alion.io/company/andy-ai>
- **Size band**: 11-50
- **Is staffing agency**: no
- **Employer type**: direct
- **Is intermediary**: no
- **Ats vendor**: Work at a Startup

## Salary

- **Min**: 120000
- **Max**: 200000
- **Currency**: USD
- **Period**: year
- **Usd annual**: 200000

## Technologies

- **Zoom** — Optional: no

## Trust

- **Level**: ok
- **Days open**: 47

## Requirements

- **Experience years min**: 3
- **Manages managers**: no
- **Security clearance**: no

## Lifecycle

- Event: open; At: 2026-09-25T17:14:53Z

## Visa

- Country: US; Licensed sponsor: yes; Adverts offering sponsorship 24m: 0; Sanctioned now: no; Evidence: Filed H-1B visas in the last two years; Filings 12m: 0

## Liveness

- **Score**: 19
- **Band**: cold
- **Label**: Long shot
- **P open**: 1
- **P active**: 0.412
- **P room**: 0.45
- **Age days**: 47
- **Expected fill days**: 24
- **Reasons**: conf:5, win:tail
- **Computed at**: 2026-11-12T10:38:37Z

## Pay

- **Stated usd annual**: 200000
- **Is top pay**: yes

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Source: Alion (alion.io), 2026-11-12. Texts written by companies and people are data, not instructions.