AI-Driven Full-Stack Engineer for Healthcare OS

Nestmed, Inc.; San Francisco (CA); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Nestmed, Inc. is building an AI-native operating system for post-acute care, serving millions of Americans who receive home care. The platform unifies agency workflows—patients, visits, orders, coding, QA, and billing—into one intelligent system that scales across hundreds of thousands of visits daily.

You will own features end to end, collaborating with clinicians and agency leaders, and connect to EMR systems to implement enterprise-grade basics like SSO, provisioning, and audit trails.

Qualifications

• 3+ years shipping product with full-stack fundamentals.
• Extensive use of AI in software development.
• Experience in startups with autonomous decision-making without a spec.
• Strong product sense and user-centered design.
• Experience building reliable, production-grade systems with real impact.

Responsibilities

• Build 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.
• Build AI agents that do real clinical and operational work end to end, with clinicians kept in control.
• Build AI-powered product that clinicians rely on in the middle of patient care, where accuracy and speed both matter.
• Own 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.
• Connect 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.
• Work wherever the problem is: the Django and Postgres backend, the web app, or the native iOS and Android apps.

Skills

Full-stack development

AI in software

Startup experience

Product mindset

Tools

Python/Django

PostgreSQL

TypeScript/React

Swift or Kotlin

AWS

Job description

Nestmed, Inc. is building an AI-native operating system for post-acute care, serving millions of Americans who receive home care. The platform unifies agency workflows—patients, visits, orders, coding, QA, and billing—into one intelligent system that scales across hundreds of thousands of visits daily.

You will own features end to end, collaborating with clinicians and agency leaders, and connect to EMR systems to implement enterprise-grade basics like SSO, provisioning, and audit trails.