Financial OS for medical practices with AI-powered automation
Nelly operates a healthcare payments and practice-management platform built on Rust, AWS, and TypeScript, with active investment in AI agents (LangChain, LangGraph, RAG) and internal data infrastructure. The stack mix—production Rust alongside Python for AI/data work—reflects an engineering org moving toward AI-powered automation of administrative workflows. Hiring skews sales-heavy (12 roles) relative to engineering (10), suggesting a product-market fit phase shifting toward revenue scaling.
Notable leadership hires: Head of Engineering, Chief of Staff, Growth Director
Nelly is a healthcare fintech company serving medical practices in Germany, founded in 2021. The platform consolidates payments, patient intake, insurance workflows, and billing into a unified financial operating system designed to reduce administrative overhead. Core technical work centers on integrating with practice-management systems (via Rust backends and data models), automating billing workflows with AI agents, and building out an internal data platform to support analytics and product decisions. The company operates with steady hiring velocity across sales, engineering, product, and data functions.
Rust, AWS, TypeScript, React, Next.js, Node.js, Python, LangChain, LangGraph for AI/RAG, Datadog for observability, and Jira for development tooling.
Core projects include AI agents for billing workflows, integrations between practice-management systems and Nelly's backend, a core data platform, and scaling AI experiences—addressing administrative chaos in medical practices.
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