Startups

Andy AI

Founding Engineer - Full Stack

San Francisco, CA, US

Full-time

### **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](https://linkedin.com/in/tiantianzha)
  • Prev. PM at Google’s healthcare division
  • Launched world’s first ever mosquito factory to eliminate Dengue (yes, it works!)
  • [Sam](https://www.linkedin.com/in/samajudd/)
  • Built Google Photos from 0 to 1B; tech lead for Photos Android (100+ eng)
  • Prev engineer at Bump (Sequoia) / Convex (a16z)
  • [Sarah](https://www.linkedin.com/in/sarahfalconern/)
  • Prev. administrator of home health agency
  • Led a 4.5-star agency (read: she’s \*really excellent\* at documentation)

Sourced 2026-10-01