Founding Engineer - Full Stack
Founding Engineer - Full Stack at Andy AI — San Francisco, CA, US
- Company: Andy AI
- Location: San Francisco, CA, US
- Employment type: FULL_TIME
- Salary: USD 120000–200000 / year
- Posted: 2026-07-17
About this role
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)