Founding Engineer

Andy AI is a seed-stage startup that automates clinical documentation for nurses who do home visits. Nurses make an audio recording of their visit, and our software automatically generates a completed form that otherwise takes 90 minutes per patient. America has a massive nursing shortage. Yet, the healthcare system demands that nurses spend half their time on documentation, not patient care. Join us to fix this problem: to end nurse burnout and improve the quality of care at home for older adults. 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’ll develop AI that reads complex, multi-modal data (text, image, audio) and generates accurate, home-health-specific documentation. Structure highly heterogeneous healthcare data using frontier models Enhance models through detailed failure analysis and rapid iterations Design human-review processes to generate high-quality ground truth Get creative & experiment relentlessly Bonus: learn medicine & see how money flows in healthcare. Who you are You are a strong AI engineer who takes end-to-end ownership from idea to launch. Strong foundation in AI Hands-on experience building with LLMs Excited to build in healthcare Proficient in Python & Typescript Who we are Tiantian Prev. PM at Google’s healthcare division Launched world’s first ever mosquito factory to eliminate Dengue (yes, it works!) Max Prev. AI engineer on Apple Watch. Launched FDA-cleared AI-powered diagnostic for atrial fibrillation Sam Prev. software engineer at Google/Bump Built Google Photos from 0 to 1B; author of Android library installed on 40% of phones Sarah Prev. administrator of home health agency Led a 4.5-star agency (read: she’s really excellent at documentation) Intro - Zoom meeting with Tiantian (CEO) Technical - Zoom meeting with Max (CTO) Assignment - Short take-home Meet the team - Paid project, in person in SF How to apply: I want to hear about your proudest achievement! Let me know in 1-2 sentences :)