{"id":2311771,"url":"https://alion.io/job/nestmed-software-engineer","title":"Software Engineer","company":{"id":4785,"name":"Nestmed","domain":"nestmed.com","url":"https://alion.io/company/nestmed","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","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":150000,"max":280000,"currency":"USD","period":"year","gross":null,"usd_annual":280000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"Django","optional":false},{"name":"HIPAA","optional":false},{"name":"LLM","optional":false},{"name":"PostgreSQL","optional":false},{"name":"AWS","optional":true},{"name":"Kotlin","optional":true},{"name":"Python","optional":true},{"name":"Swift","optional":true},{"name":"TypeScript","optional":true}],"status":"live","first_seen_at":"2026-10-12T00:30:16Z","employer_posted_date":"2026-10-12","last_verified_at":"2026-10-12T11:17:19Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Nestmed is building the AI-native operating system for post-acute care.\nMillions of Americans get care at home every year. The agencies delivering it run on decades-old software, disconnected tools, phone calls, and faxes, with nothing that ties the work together.\nWe started with the hardest piece: understanding what actually happens in the visit. Now we're building everything on top of it, so an entire agency runs on one intelligent system.\n7 of the 10 largest home health companies in the US already run on Nestmed, across hundreds of thousands of visits a day. We closed our Series A, backed by investors including Max Levchin, co-founder of PayPal, and veterans of the home care industry.\nWhat you'll do\nBuild the operating system itself: the core data model and workflows that every part of an agency runs on, including patients, visits, orders, coding, QA, and billing.\n\nBuild AI agents that do real clinical and operational work end to end, with clinicians kept in control.\n\nBuild AI-powered product that clinicians rely on in the middle of patient care, where accuracy and speed both matter. For example, turning visit audio into structured clinical data that drives everything downstream.\n\nOwn features from start to finish. You'll talk to clinicians and agency leaders, decide what to build, ship it, and watch it run across hundreds of thousands of visits a day.\n\nConnect to the medical record systems our customers depend on, and build the enterprise basics large health systems require: single sign-on, account provisioning, and audit trails.\n\nWork wherever the problem is: the Django and Postgres backend, the web app, or the native iOS and Android apps.\n\nWhat we're looking for\n3+ years building and shipping product, with solid full-stack fundamentals.\n\nYou use AI heavily in how you write software.\n\nYou've worked at a startup and can decide what to do without a spec.\n\nProduct sense: you listen closely to users, go deep on their problems, and translate what they need into the right technical decisions.\n\nYou've built something people depended on, where getting it wrong had real consequences.\n\nBonus\nExperience in healthcare or another regulated industry (HIPAA, HL7/FHIR).\n\nLLM products in production: evaluations, multi-step model workflows, agents.\n\nOur stack: Python/Django, Postgres, TypeScript/React, Swift or Kotlin, AWS.\n\nAudio, real-time systems, or mobile apps that work offline.\n\nIf you want to build the system an entire healthcare industry runs on, we'd love to hear from you.","description_format":"text","description_chars":2513,"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":["Home Care Services"],"lifecycle":[{"event":"open","at":"2026-10-12T01:32:45Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":0,"expected_fill_days":19,"reasons":["conf:2","win:early"],"computed_at":"2026-10-12T06:55:09Z"},"pay":{"stated_usd_annual":280000,"is_top_pay":true},"html_url":"https://alion.io/job/nestmed-software-engineer","json_url":"https://alion.io/job/nestmed-software-engineer.json","meta":{"generated_at":"2026-10-12T14:55:57Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":23581,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4785},"rest":"https://alion.io/mcp/rest/get_company?id=4785"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fnestmed-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fnestmed-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fnestmed-software-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/nestmed-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fnestmed-software-engineer"}]}