Software Engineer
Nestmed
About the role
Nestmed is building the AI-native operating system for post-acute care.
Millions of Americans get care at home every year. The agencies delivering it run on decades-old software, disconnected tools, phone calls, and faxes, with nothing that ties the work together.
We started with the hardest piece: understanding what actually happens in the visit. Now we're building everything on top of it, so an entire agency runs on one intelligent system.
7 of the 10 largest home health companies in the US already run on Nestmed, across hundreds of thousands of visits a day. We closed our Series A, backed by investors including Max Levchin, co-founder of PayPal, and veterans of the home care industry.
What you'll do
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. For example, turning visit audio into structured clinical data that drives everything downstream.
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.
What we're looking for
3+ years building and shipping product, with solid full-stack fundamentals.
You use AI heavily in how you write software.
You've worked at a startup and can decide what to do without a spec.
Product sense: you listen closely to users, go deep on their problems, and translate what they need into the right technical decisions.
You've built something people depended on, where getting it wrong had real consequences.
Bonus
Experience in healthcare or another regulated industry (HIPAA, HL7/FHIR).
LLM products in production: evaluations, multi-step model workflows, agents.
Our stack: Python/Django, Postgres, TypeScript/React, Swift or Kotlin, AWS.
Audio, real-time systems, or mobile apps that work offline.
If you want to build the system an entire healthcare industry runs on, we'd love to hear from you.
Responsibilities
- Build the core data model and workflows for healthcare agencies.
- Develop AI agents and AI-powered products for clinical and operational workflows.
- Own features from user discovery through shipping and monitoring.
- Integrate with medical record systems and build enterprise features such as SSO, provisioning, and audit trails.
- Work across backend, web, and native mobile applications.
Qualifications
- 3+ years building and shipping products with solid full-stack fundamentals.
- Use AI extensively in software development.
- Startup experience and ability to make decisions without a detailed specification.
- Strong product sense and ability to translate user needs into technical decisions.
- Experience building products people depend on where errors have real consequences.
- Healthcare or regulated-industry experience, production LLM products, or experience with audio, real-time systems, or offline-capable mobile apps is a plus.
Benefits
- Equity
Skills mentioned
About Nestmed
Nestmed is the leading AI platform for home health and hospice. Our technology simplifies every part of the clinician’s workday, from real-time AI documentation and clinical guidance using ambient listening during visits to hands-free patient summaries between visits. We are trusted by top enterprise agencies to increase productivity, compliance, and retention, so clinicians get more time back for patient care.