Taiga, a San Francisco-based healthcare AI company from Y Combinator's P26 batch, is building automated medical billing software to handle insurance claims and denial management for independent physician practices.
The company was founded in 2026 by CEO Nanda Guntupalli and CTO Adam Wax, childhood friends who grew up with parents running independent medical practices. Both founders watched medical billing become a source of stress and lost revenue for their families' practices. Guntupalli studied computer science at the University of Pennsylvania, while Wax studied computer science and mathematics.
End-to-End Medical Billing Automation
Taiga automates billing operations by processing patient visit data directly. When a doctor uploads visit records, Taiga determines the appropriate billing codes, inspects claims for potential errors, and submits them to insurance carriers. The platform also manages claim denials and follow-up communications.
To support its core platform, Taiga is hiring a Founding Machine Learning Engineer ($350,000–$400,000) on-site in San Francisco. The role serves as the company's first ML hire, owning the models, agents, evaluation benchmarks, and data pipelines that perform billing work while building ML systems and shipping LLM or agent systems.
The company is also recruiting a Founding Engineer ($300,000–$375,000) in San Francisco to build the platform its agents run on. The role involves writing TypeScript on Postgres, building with LLMs, and creating integrations with outside systems that billing depends on.
Go-to-Market and Customer Success
Alongside its core engineering team, Taiga is expanding its practice-facing team to scale adoption among independent practices.
The company is hiring a Founding Account Executive ($160,000–$200,000) on-site in San Francisco as its first sales hire. The role requires running deals with independent practices from initial call to signed contract, speaking comfortably on the phone with busy doctors without a script, and writing the playbook for future sales reps.
To manage practice onboarding, Taiga is also hiring a mid-level Customer Success Manager ($170,000–$210,000) for a hybrid role in San Francisco (listed with remote US options). The position owns relationships with practices by onboarding new customers, maintaining satisfaction, and feeding customer insights back to the product team.
Open Roles at Taiga
| Role | Location | Work Mode | Salary |
|---|---|---|---|
| Founding Machine Learning Engineer | San Francisco, CA | Onsite | $350,000 - $400,000 / year |
| Founding Engineer | San Francisco, CA | Onsite | $300,000 - $375,000 / year |
| Customer Success Manager | San Francisco, CA / Remote (US) | Remote | $170,000 - $210,000 / year |
| Founding Account Executive | San Francisco, CA | Onsite | $160,000 - $200,000 / year |
