Software Engineer, Backend

Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back.

In just one year, we’ve scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US.

Our founding team—hailing from Stanford, YC, Google, and Meta—is backed by the founders of PayPal and Plaid to build the essential infrastructure for the future of the $500B home healthcare industry.

We're seeking a Senior Software Engineer to help shape the technical foundation of our AI documentation platform. This is a rare opportunity to join as one of our first full-stack hires at a seed-stage company with clear product-market fit and explosive growth. You'll work directly with our CEO and CTO to build user-facing features end-to-end and become a future tech lead as we scale.

As a founding software engineer, you'll take end-to-end ownership of major product areas from backend to frontend:

• Voice agent for in-visit documentation

• Coding agent workflows and automation

• Dynamic visit guides with real-time prompting

• Customer-editable documentation behavior and rules

You'll work across the full stack—designing APIs, building backend systems, and creating intuitive user interfaces that clinicians love.

• Successfully scale our platform to support increased enterprise demand, delivering 20%+ productivity gains for clients.

• Build and ship complete user-facing features autonomously

• Implement infrastructure that supports real-time documentation processing

• Establish engineering best practices for our growing team

• Own product areas end-to-end that directly impact thousands of clinicians

Must-haves:

• Senior-level experience in full-stack engineering with a solid knowledge of product development.

• Comfortable owning user-facing features from backend to frontend

• Experience scaling platforms in high-growth environments

• Robust database modeling, API design, and systems architecture skills

• Ability to turn ambiguous product ideas into shipped features

• Care deeply about UX, iteration velocity, and real-world usage

• Comfortable with founding engineer responsibilities and thriving in ambiguity

• Can work quickly and urgently to show results and iterate on products

What makes you extraordinary:

• AI/ML platform experience (especially audio processing or NLP)

• Experience at seed to Series B startups

• Previous founding engineer experience

• Healthcare or regulated industry background

• Enterprise B2B SaaS experience

• Real-time systems expertise

• Proficient frontend development skills

If you’re passionate about building high-impact products that solve real-world problems, we’d love to hear from you. Apply today!