A Three-Person AI Startup Rejects General AI Experience

The Screen Tests Two Fluencies

Solum Health, a Y Combinator-backed health-automation startup founded in 2024, builds Annie, an AI front-office assistant that automates referral intake, insurance verification, and prior authorization across 40-plus EHR systems. The product replaces six hours of daily admin work per front-desk employee, cuts verification calls from 12 minutes to 12 seconds, and reduces claim denials by 38 percent, Solum Health's data shows, versus manual processes. That operational reality shapes every hire. Founder JP Montoya runs a three-person team, so each person must carry both clinical workflow context and the technical depth to ship into it.

Zero G Talent's board lists four roles added in the past week: two Founding Full Stack Engineer positions, a Forward Deployed Engineer (FDE), and a Founding Forward Deployed Engineer (FDE) - Healthcare Operations. Every role is remote. The salary band spans $54K–$171K, Zero G Talent's board found, with a $120K median. The two skills that appear most: LLM experience and A/B testing rigor.

Annie handles referral extraction from faxes, portals, and emails; runs real-time eligibility checks by CPT code with place-of-service and authorization requirements; manages every authorization type including re-authorization deadline tracking; and monitors entire patient bases for coverage shifts. The company serves ABA therapy, physical therapy, speech and occupational therapy, multi-specialty groups, infusion centers, billing and RCM companies, MSOs, imaging centers, and home health. Onboarding takes two weeks. Customers see measurable ROI within 90 days and average $247K, Solum Health's website reported, in annual savings versus a $52K full-time admin hire.

Job Boards Disagree: The Careers Page Wins

Aggregators disagree on Solum's open roles. As of October 19, 2026, Landed.jobs shows five open roles while simultaneously stating "Solum Health has 3 open roles live on its own careers page today." Hiring.camp lists six. Workatastartup.com reports six. Y Combinator's directory shows seven across sales, engineering, and product. None match, and Landed.jobs contradicts itself on the same page.

The discrepancy reflects how each platform ingests data: some scrape the careers page on a schedule, some rely on lagging API feeds, others count roles never posted to the company's site. Landed.jobs notes its list "refreshes daily" and carries an "Oct 19, 2026" timestamp, yet surfaces two different totals. Workatastartup.com and Y Combinator publish no refresh date, so you can't tell if their counts are current or weeks stale.

Zero G Talent's board, which ingests directly from the source, shows Solum Health with four roles added recently and six live openings:

That first-party count matters because it reflects what the company published, not what a scraper caught. Solum's three founders, JP Montoya, Juan Montoya, and Noam Grebler — don't run seven simultaneous searches without a dedicated recruiter. The YC figure of seven likely includes filled, closed, or never-public positions. Workatastartup's six aligns with the board's current six, but without a timestamp you can't confirm they're the same six.

The only list updating in real time is the company's own careers page. Landed.jobs explicitly directs applicants there: "landed applies to the ones that fit you on Solum Health's own site, the hour they go live." That admission — from an aggregator, confirms the hierarchy: the employer's page is the source of truth. Every third-party count is a derivative, and derivatives drift. Candidates who apply through an aggregator's "apply now" button risk submitting to a role that closed days ago or never existed. The only way to see what's actually open is to go to the source.

Remote-First Filters Before You Apply

Solum Health lists its location as "Remote, Partly Remote." Every one of its six live openings is tagged remote. That consistency isn't a perk — it's the first filter. Three founders review applications between running the business. No recruiters, no onboarding program, no manager to ping when a timezone conflict stalls a deploy. The remote label selects for candidates who have already operated without supervision.

The geography of the openings makes the filter explicit. Two Founding Full Stack Engineer roles split compensation models: one pays $4,500–7,500 monthly for candidates in Colombia, Argentina, the United States, or Brazil; the other pays $130,000–180,000 annually for candidates in San Francisco, New York, Miami, Phoenix, or Los Angeles. The monthly band signals contractor status; the annual band signals W-2 employment. A candidate who applies to the wrong band without addressing the distinction signals they haven't read the posting — an automatic reject at a three-person company.

The Forward Deployed Engineer roles follow the same pattern. The Founding FDE – Healthcare Operations sits in San Francisco or New York at $120,000–180,000 annually. The other FDE opens to Colombia, Argentina, the United States, and Brazil at $4,500–7,500 monthly. Both are remote. Both require the same "ability to operate autonomously" the company's hiring notes emphasize. The compensation split filters for employment-classification awareness before a single interview occurs.

The two SDR roles sharpen the geographic filter further. One anchors in Medellín, Antioquia, Colombia at $2,000–5,000 annually — a figure that appears to be a monthly range mislabeled. The other sits in San Francisco at $60,000–150,000 annually. Both are remote. The Medellín role targets a specific labor market; the San Francisco role targets another. A candidate in Austin or Berlin who applies to either without explaining their overlap with the stated regions adds noise the founders don't have time to parse.

"Partly Remote" on the company profile versus "Remote" on every role creates a second ambiguity filter. The Y Combinator job board lists the Founding FDE – Healthcare Operations as "San Francisco, CA, US / New York, NY, US / Remote" and the US-based Founding Full Stack Engineer as "US / San Francisco, CA, US / Remote (New York, NY, US; Miami, FL, US; Phoenix, AZ, US; Los Angeles, CA, US)." The parentheses suggest occasional in-person expectation. Candidates who treat "remote" as "never onsite" self-select out. Candidates who ask "what does partly remote mean for this role?" in their first message pass the autonomy test.

The data proves the filter works. Typical healthcare roles at sub-50-person companies draw 50–100 applications in two weeks. Solum's roles stay quiet for roughly four days. By day three, a posting has about eight applicants. By day seven, it hits 250-plus. The remote-first signal compresses the window: candidates who match the geography, the compensation model, and the autonomy requirement apply fast. Candidates who need clarification on any of the three don't apply at all. The filter works before the founders open a single inbox.

How to Apply and Pass

The only reliable source for Solum Health openings is that page and the Zero G Talent board that ingests directly from it. Third-party aggregators show five, six, or seven roles depending on the day. The Zero G Talent board for Solum Health shows four roles added in the past seven days and six total openings live. That board is the floor, not the ceiling. If a role isn't there, it doesn't exist for you.

Start by reading the product. As described above, it handles the aforementioned intake and verification processes across 40-plus EHR systems, serves the aforementioned specialties, with onboarding in two weeks and measurable ROI within 90 days averaging $247K the aforementioned savings.

The board shows six openings. Aggregators show five to seven. The delta is the noise you ignore.

Prepare for the interview loop using primary sources. Glassdoor and Indeed each host about five Solum interview questions and reviews posted anonymously by candidates. The founding team runs the final rounds. They look for evidence you've worked inside a therapy practice or built software that touches one. General AI experience doesn't pass. Clinical-AI fluency does.

Apply directly through the Zero G Talent listing for the role that matches your stack. Each posting links to the company's application form. No recruiter outreach, no LinkedIn Easy Apply, no third-party portal. The remote-first structure — all six roles marked remote, functions as a filter. The company has three employees in San Francisco. They hire engineers who can deploy into customer environments across time zones without hand-holding. The SDR roles in Medellín and San Francisco follow the same pattern: quota ownership, not activity metrics.

Verify the role is still open the day you apply. The board updates in real time. A role added seven days ago may close tomorrow. The "4 roles added in the past 7 days" signal means the pipeline moves fast. If you see a match, submit that day with a cover note that references Annie's 40-plus EHR integrations, the 12-minute-to-12-second verification metric, and the specific clinical specialty you've worked in or built for. That note is your screen pass. Everything else is noise.

The screen doesn't care where you live. It cares whether you've held a denial letter and a model eval report in the same hour. The founders built Annie to replace the fax-and-phone grind that burns out front-desk teams at therapy practices. They're hiring the people who can keep that promise without breaking the clinical judgment that makes it safe. The window is narrow. The board is live. The rest is static.

Working in frontier tech? Zero G Talent tracks the openings: see every open Solum Health role, browse frontier tech jobs, the companies hiring, and the people building the field.