Founding Engineer - Full Stack

Andy is AI software that completes documentation for nurses during home visits.

Location: San Francisco, CA
Company size: 2–10
Posted: 1mo ago
Via: Yc

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Job listing · Updated 21 AUG 2026

Founding Engineer - Full Stack

Andy AI· San Francisco, CA, USView company profile

Job title: Founding Engineer - Full Stack
Job location: San Francisco, CA, US
Job listing URL: https://www.ycombinator.com/companies/andy-ai/jobs/TXZ6eTG-founding-engineer-full-stack
Job description: ### **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)

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