What if your healthcare practice could run its back office without the admin burden?

Quick Pitch: Janie is the AI back office for healthcare, automating billing, coding, and prior auth to cut costs and unburden care teams.

The Problem

• Admin Overload: $200B+ is spent annually on repetitive, error-prone healthcare admin work.

• Team Burnout: Charting, coding, and prior auth are major burnout drivers.

• Outdated Tools: Legacy systems can't handle rising patient volumes and billing complexity, leading to revenue loss.

Snapshot

• Industry: Healthcare AI Automation

• Headquarters: Salt Lake City, Utah

• Year Founded: 2024

• Traction: 7-Figure ARR in 10 months, 65+ Customers

Founder Profiles

• Preston Sharp, Co-Founder, CEO: Ex-McKinsey, deep healthcare operations and product background.

• Brigham Sharp, Co-Founder, COO: Ex-McKinsey, leads marketing and sales.

Funding

• Last Round: Seed ($4M)

• Lead Investor: SpringTide Ventures (Ellipsis Health, Helm Health)

• Other Investors: Mana Ventures

• Total Funding: $4.1M

Revenue Engine

• Subscription Model: Per digital worker, priced by volume and complexity

• Land and Expand: Small starts grow into broader adoption

• High Efficiency: Low customer acquisition costs, high conversion from demos, and strong average contract value.

What Users Love

• Minimal setup with existing electronic health records and revenue cycle management systems.

• Real-time automation that learns and improves.

• Faster ROI through higher throughput and fewer denials.

• Domain-trained workers for specialties like cardiology and dermatology

Playing Field

• Nabla, Suki, Abridge: Narrow focus on documentation

• RPA/BPO: Clunky, high-maintenance automation

• Legacy Systems: Fragmented and outdated

Why It Matters

Despite its importance, healthcare admin remains manual. Compliance complexity has slowed automation—until now. With AI-native solutions, it’s finally possible to replace manual workflows at scale.

What Sets Them Apart

• Workflow Breadth: Goes beyond transcription to cover the full admin stack

• AI-Native: Built on proprietary models tailored to healthcare

• Deep Integrations: Direct access to EHRs, RCMs, and payers

• Domain Expertise: Specialized workers improve through reinforcement learning

• Unit Economics: Improving margins and consistent growth

Breakdown

Bulls Case 📈 

• Fast early traction with strong capital efficiency

• Broad AI use across critical admin workflows

• Massive TAM and urgent customer pain

• Efficient GTM with expanding usage

• Experienced team with deep domain insight

Bears Case 📉 

• Replacing outsourced agents with tech is non-trivial

• Long sales cycles in healthcare

• Regulatory hurdles may delay product updates

• Competition from startups and incumbents

Verdict

Janie’s traction signals strong product market fit in healthcare automation. Its AI native platform spans the full admin stack, from billing to prior authorization, setting it apart from point solutions. With solid unit economics and an experienced founding team, Janie is built to scale.

Still, scaling beyond early wins will depend on replacing outsourced agents with tech, navigating regulatory complexity, and staying ahead as larger players enter the space.

The Startup Pulse

• Anysphere — Creator of AI coding assistant Cursor. Raised $900M at a $9.9B valuation. Surpassed $500M in ARR and turned down OpenAI acquisition offers.

• Chalk — SF/NYC-based AI inference platform raised $50M Series A. Helps fintech and healthcare firms improve real-time predictions during onboarding and growth.

• Chime Financial — U.S. digital banking startup is prepping for an $800M IPO. Last valued at $25B in 2021, now aiming for a potential $11.2B debut.

Written by Ashher

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