--- title: Software Engineer at Nestmed in San Francisco, CA description: Nestmed is hiring for the Software Engineer role in San Francisco, CA. Pays $150K–$280K per year. See the full description and apply. type: job url: https://www.foundrole.com/jobs/software-engineer-at-nestmed-01a12dbf-fa4d-7a9d-b8ae-c5190539717b date: 2026-11-15T01:26:44Z og_description: Join Nestmed as Software Engineer in San Francisco, CA. Pays $150K–$280K per year. Full-time, on-site role. og_image: https://www.foundrole.com/og/p0zccm.png breadcrumbs: - label: Home url: https://www.foundrole.com/ - label: Search url: https://www.foundrole.com/jobs --- | | | |---|---| | **Company** | Nestmed | | **Location** | San Francisco, CA | | **Salary** | $150K/yr - $280K/yr | | **Type** | Full Time | | **Posted** | Oct 12, 2026 | ## Is this job real? **Ghost job check:** B · Low risk. Probably a real opening. ## Visa sponsorship - **H-1B:** No H-1B sponsorship on record for Nestmed. - **E-Verify:** No E-Verify enrollment on record for Nestmed. ## Pay for similar jobs Most similar jobs pay $186,000 – $245,000 a year (median $215,000). ## Description 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. ## Skills - Amazon Web Services - Go - Swift - Django (Web Framework) - Patient Care - Python - Web Application Development - Health Insurance Portability And Accountability Act (Hipaa) Compliance - Artificial Intelligence - CNC Turning - PostgreSQL - FHIR - Billing - AI Agents - Kotlin - iOS - Identity And Access Management - Large Language Models (Llm) - TypeScript - Clinical Data Management System (Cdms) - Audit Trail Management - Product Sense - Hl7 - Android - Single Sign-On (Sso) - Core Data (iOS) ## Related - [Technology & Software jobs](https://www.foundrole.com/careers/technology-and-software?utm_source=ai_markdown)- [Software Development jobs](https://www.foundrole.com/careers/technology-and-software/software-development?utm_source=ai_markdown)- [Software Developer / Engineer jobs](https://www.foundrole.com/careers/technology-and-software/software-development/software-developer-engineer?utm_source=ai_markdown)- [Browse all companies](https://www.foundrole.com/companies?utm_source=ai_markdown) ## Explore this job market - [California](https://www.foundrole.com/locations/us/california?utm_source=ai_markdown) — 260759 jobs - [Software Products](https://www.foundrole.com/sectors/technology/software-products?utm_source=ai_markdown) — 118918 jobs - [San Francisco, CA](https://www.foundrole.com/locations/us/california/san-francisco?utm_source=ai_markdown) — 27903 jobs ## Related pages - [California](https://www.foundrole.com/locations/us/california?utm_source=ai_markdown) — 260759 jobs - [Software Products](https://www.foundrole.com/sectors/technology/software-products?utm_source=ai_markdown) — 118918 jobs - [San Francisco, CA](https://www.foundrole.com/locations/us/california/san-francisco?utm_source=ai_markdown) — 27903 jobs ## Browse - [Companies](https://www.foundrole.com/companies?utm_source=ai_markdown) - [Jobs by country](https://www.foundrole.com/locations?utm_source=ai_markdown) - [Jobs in the United States by state and city](https://www.foundrole.com/locations/us?utm_source=ai_markdown) - [H1B sponsors by location](https://www.foundrole.com/h1b-sponsors?utm_source=ai_markdown) - [H1B salaries](https://www.foundrole.com/h1b-salaries?utm_source=ai_markdown) - [Sectors and industries](https://www.foundrole.com/sectors?utm_source=ai_markdown) - [Jobs by career field](https://www.foundrole.com/careers?utm_source=ai_markdown) - [Latest jobs](https://www.foundrole.com/jobs/latest?utm_source=ai_markdown)