T

Tiny Health

Microbiome gut health testing and plans

AI Engineer

Full-Time
No salary listed
Mid
Remote in USA+2 moreMore locations: Remote in Canada | Austin, TX, USA
RemoteRemote within North America; core working hours are 9am–6pm Central Time, shiftable by up to two hours.
Software EngineeringAI Application Engineering

About the job

Requirements
  • At least 4 years of experience building and shipping software, including hands-on experience taking machine learning or large language model-backed features to production.
  • Solid machine learning fundamentals and the ability to reason about model behavior and limitations.
  • Working knowledge of retrieval-augmented generation, including embeddings, chunking, retrieval quality, and retrieval failure modes.
  • Strong backend engineering fundamentals with experience in TypeScript or Python.
  • Ability to debug non-deterministic systems and isolate whether poor output came from retrieval, prompting, tool use, or post-processing.
  • Experience measuring AI quality through evaluation rather than relying on spot checks.
  • Experience with Amazon Web Services and serverless architectures.
  • Strong understanding of application programming interface development and system design.
  • Comfort driving work forward in a fast-paced, remote startup environment.
Responsibilities
  • Design, build, and maintain production AI systems and application programming interfaces that power the products.
  • Own AI features end to end, from prototyping and evaluation through deployment, monitoring, and iteration.
  • Build and improve retrieval and grounding systems so answers remain accurate and traceable to their sources.
  • Develop evaluation and quality tooling to determine whether changes improve or worsen an AI system.
  • Ensure the performance, reliability, and observability of AI components in production, including triaging and resolving quality issues.
  • Collaborate with science and clinical teams to translate reviewed microbiome science into trustworthy product experiences.
  • Partner with product, design, and engineering to scope and ship high-impact AI-driven features.
  • Design data pipelines and inference infrastructure that scale with usage.
Desired Qualifications
  • Familiarity with vector databases such as Pinecone, Weaviate, FAISS, Chroma, or similar.
  • Experience with large language model-as-judge evaluation or human-in-the-loop feedback loops.
  • Experience with agent tooling, function calling, or Model Context Protocol.
  • Experience with observability, monitoring, and alerting systems.
  • Previous experience in health technology, biotechnology, or handling sensitive health data.
  • Experience fine-tuning and self-hosting models for narrow, latency-sensitive tasks.
  • Startup or small-team experience involving multiple responsibilities.

About the company

Tiny Health provides gut health testing for families, focusing on mothers and babies aged 0-3, with additional tests for pregnancy and vaginal health. Its tests use stool or vaginal swabs and are analyzed in a CLIA-certified lab, delivering results in 3-4 weeks. The service includes personalized, evidence-based action plans, microbiome specialist consultations, and retesting to monitor how diet, supplements, and lifestyle changes affect gut health. Revenue comes from selling these tests and related services to families who want to prevent gut-related issues and optimize overall health.

Company Size

51-200

Company Stage

Series B

Total Funding

$46M

Headquarters

Austin, Texas

Founded

2020

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Simplify Jobs

Simplify's Take

What believers are saying

  • Revenue crossed eight figures and doubled annually before the September 2026 raise.
  • Powered by Tiny grew 4x last year with 45 enterprise partners, including Mayo Clinic.
  • The $5 million Microbiome Research Program expands evidence, clinician trust, and B2B distribution.

What critics are saying

  • The 2025 eczema RCT anchors the story; one weak replication crushes clinical credibility.
  • Evvy and Viome compete on microbiome testing, squeezing Tiny Health's consumer pricing and practitioner adoption.
  • FDA scrutiny on health claims can halt growth if reports overpromise disease prevention.

What makes Tiny Health unique

  • September 29, 2026 Series B funded $33 million led by B Capital.
  • Tiny Health owns a full in-house bioinformatics pipeline and shotgun metagenomic sequencing.
  • It published a 2025 RCT showing targeted interventions reduced infant eczema odds 83%.

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Benefits

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

6%

2 year growth

4%
MedCity News
Sep 29th, 2026
Tiny Health secures $33M to expand microbiome testing.

Tiny Health secures $33M to expand microbiome testing. Tiny Health's Series B round was led by B Capital, with participation from Spero Ventures, The Venture City, Overwater Ventures, Black Opal Ventures, Denver Ventures, Pave Health Ventures, Alumni Ventures, Gaingels and Pari Passu Ventures. Tiny Health, a microbiome intelligence platform, announced on Tuesday that it secured $33 million in Series B funding. The Austin, Texas-based company offers gut microbiome tests for adults, babies and children. These provide insights on gastrointestinal issues, inflammation, eczema and allergies. In addition, it provides a vaginal microbiome test to assess sexual and reproductive health. All of these tests cost about $249, can be taken at home and come with personalized recommendations. The Series B round was led by B Capital, with participation from Spero Ventures, The Venture City, Overwater Ventures, Black Opal Ventures, Denver Ventures, Pave Health Ventures, Alumni Ventures, Gaingels and Pari Passu Ventures. In total, Tiny Health has raised $46 million. Healthcare decision-makers, especially at pharmaceutical companies, must prioritize patient input. Data collected from social media listening is a significant step in the right direction. "We believe the gut microbiome represents one of the most significant and underexplored frontiers in human health, and Tiny Health has built the platform best positioned to bring that science and the actionable health insights that follow to patients, providers, and partners at scale," said Nick Whitehead, senior principal at B Capital, in a statement. The financing will be used for clinical research and interventional studies, expanding healthcare practitioner education and advancing its AI technology. Tiny Health currently has a second randomized controlled trial underway, with its first finding that targeted microbiome interventions reduced infants' chances of developing eczema by 83%. The company is also expanding research on irritable bowel syndrome, menopause and GLP-1s. Tiny Health is also committing $5 million to launch the Microbiome Research Program. This will give researchers and clinicians access to Tiny Health's microbiome testing, data and research tools to study potential treatments and interventions. Founded in 2020, Tiny Health has served nearly 200,000 customers and more than 6,000 healthcare practitioners. The company's founder, Cheryl Sew Hoy, created Tiny Health after her first child, born by C-section, developed eczema and a food allergy. This led her to research the microbiome and she found a gap in tools for parents to understand and support their babies' gut health. presented by In an interview, Kyan Health Co-Founder and Chief Commercial Officer Konstantin Struck discussed how Kyan gives mid-market and enterprise employers access to premium workforce mental healthcare, at a price point that is affordable. Sew Hoy said she ultimately hopes to make microbiome testing the standard of care, not a specialty test. Long-term, she wants to support the transition from reactive sick care to preventive care. "To get there, we need two things: scientific rigor and clinical utility, meaning clinicians and health practitioners are actually deriving value from what we build and it's changing outcomes, not just generating a report," she told MedCity News. "If we can keep both of those true as we scale, I think the gut microbiome becomes one of the foundational layers of how personalized medicine works, and Tiny Health helps set the standard for how that data gets measured and interpreted across the whole field." Other microbiome testing companies include Evvy and Viome.

GlobeNewswire
Sep 29th, 2026
Tiny Health raises $33M Series B to establish microbiome intelligence as the standard of care.

Tiny Health raises $33M Series B to establish microbiome intelligence as the standard of care. Led by B Capital, the round will accelerate Tiny Health's mission to make the gut microbiome measurable, accessible, and actionable, becoming central to precision health across the lifespan. September 29, 2026 09:00 ET | Source: Tiny Health AUSTIN, Texas, Sept. 29, 2026 (GLOBE NEWSWIRE) - Tiny Health, the microbiome intelligence platform pioneering gut and vaginal microbiome testing across the lifespan, today announced a $33 million oversubscribed Series B round led by B Capital, bringing the company's total funding to $46 million. Existing investors Spero Ventures, The Venture City, Overwater Ventures and others participated alongside other new investors including Black Opal Ventures, Denver Ventures, Pave Health Ventures, Alumni Ventures, Gaingels, and Pari Passu Ventures. In tandem with the raise, Tiny Health announced the launch of a $5 million Microbiome Research Program to accelerate microbiome research and close the gap between the science and clinical practice. The round comes as mounting evidence connects the gut microbiome to immune health, metabolism, and chronic disease. With 75% of U.S. adults and 45% of U.S. children living with at least one chronic condition (CDC 2025, JAMA 2025), the gut microbiome is emerging as a foundational piece of precision medicine and care. Unlike competitors, Tiny Health owns its full, in-house bioinformatics pipeline and is the only gut microbiome company that has published an interventional randomized controlled trial (RCT): a 2025 study in Pediatric Allergy and Immunology demonstrating that targeted microbiome interventions reduced infants' odds of developing eczema by 83%. With four published scientific papers and a second RCT underway, Tiny Health is also expanding research into conditions including IBD, menopause, GLP-1, and oncology drug response, all grounded in the world's largest longitudinal microbiome dataset. Tiny Health will use the capital to advance clinical research and interventional studies, expand its healthcare practitioner education, and scale Powered by Tiny, its B2B platform. The company is also accelerating TinyAI, the world's first AI trained on Tiny Health's proprietary dataset of nearly 200,000 microbiome profiles, to deliver personalized, science-backed guidance tied directly to a user's results. TinyAI integrates with the science, so as the dataset grows, its guidance becomes more precise, translating directly into a better patient experience and improved health outcomes. "We founded Tiny Health because the science is so impactful, the need is urgent, and no one else was building for the whole lifespan," said Cheryl Sew Hoy, CEO and Founder of Tiny Health. "What started as a solution for my own family has become the infrastructure for an entire industry. This Series B round propels microbiome science as the foundational layer for the next frontier of medicine." Announcing the Microbiome Research Program Alongside its own research, Tiny Health is committing $5 million to advance microbiome science and support researchers working to unlock the microbiome's potential to improve human health. The Microbiome Research Program will enable researchers, clinicians, and scientific partners to leverage Tiny Health's microbiome testing, data, and research capabilities to investigate important intervention strategies in microbiome health. "Tiny Health believes the next breakthroughs in microbiome science will come from bringing more researchers and institutions into the field," said Kimberley Sukhum, PhD, Chief Science Officer at Tiny Health. "This investment will help generate new evidence and foster collaborations across the scientific community, building on Tiny Health's growing body of peer-reviewed research and its commitment to advancing rigorous, accessible microbiome science." Tiny Health recently expanded the ways its data can inform precision health and has been translating its work in early-life health to the other end of the lifespan, developing new tools for longevity and healthy aging including Gut Microbiome Age, Gut Resilience, and Gut Body Connections that help people understand the gut as part of a connected biological system - and what they can do about the microbiome factors within their control. "We believe the gut microbiome represents one of the most significant and underexplored frontiers in human health, and Tiny Health has built the platform best positioned to bring that science and the actionable health insights that follow to patients, providers, and partners at scale," said Nick Whitehead, Senior Principal at B Capital, who will join the Tiny Health Board of Directors. "We are excited to partner with Cheryl and the Tiny Health team as they build a category-defining company that can help shape the future of precision medicine and care." From the First 1,000 Days to Age 100+ Founded in 2020 and launched in 2022, Tiny Health introduced the first gut microbiome test for babies, built on shotgun metagenomic sequencing, alongside gut and vaginal microbiome testing for moms. The company is grounded in the science of the first 1,000 days of life, when the gut microbiome is most malleable and its influence on lifelong immune health and chronic conditions is most profound. There is no universal "healthy" microbiome, particularly in older children and adults. Rather, functional characteristics such as diversity, resilience, and metabolic markers can be the most meaningful factors in determining microbiome risk and intervention. With significant variability in how microbiome testing is performed and interpreted industry-wide, Tiny Health is building the rigorous, validated methodology needed to make those measurements consistent, reliable, and clinically meaningful. "We are seeing unprecedented innovation at the intersection of biology, data, and AI, creating new opportunities to make healthcare more personalized and proactive. Tiny Health has created a differentiated platform that translates rigorous microbiome science into actionable insights that can help fundamentally change how people understand and improve their health across every stage of life," added Adam Seabrook, Partner at B Capital. Today, Tiny Health's platform serves nearly 200,000 customers and more than 6,000 healthcare practitioners across independent practices, hospital systems, longevity clinics, consumer health companies, and precision medicine organizations. Adult testing has now surpassed pediatric testing in volume, reflecting the company's expanding reach across the full lifespan. Tiny Health's B2B platform, Powered by Tiny, grew 4x last year, with dozens of enterprise partners spanning the healthcare and precision health ecosystem, including Fullscript, Mayo Clinic's Executive Health and Longevity Programs, Atria Institute, Superpower, and more. About Tiny Health Tiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, its testing platform reveals whether your microbiome is trending toward resilience or imbalances using shotgun metagenomics (the gold standard in microbiome analysis), proprietary AI, and one of the world's largest longitudinal datasets. Tiny Health detects microbes across 120,000+ genomes down to the strain level, surfacing comprehensive insights about metabolic capacity, immune markers, pathogenic organisms, and more. Tiny Health collaborates with academic institutions and organizations like Stanford Medicine, Mayo Clinic, Massachusetts General Hospital, and partners Joi + Blokes, Resbiotic, Siphox, Nia Health, Allina Health, and more. Trusted by families and health practitioners alike, its research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage. Learn more at tinyhealth.com. B Capital Kate Thompson / Madeline Jones / Kate Kelley Joele Frank, Wilkinson Brimmer Katcher [email protected] 212-355-4449 Release Summary Tiny Health raises an oversubscribed $33M Series B led by B Capital, bringing total funding to $46M, and launches a $5M microbiome research program.

Beauty Independent
Sep 29th, 2026
Tiny Health raises $33M Series B to make microbiome testing standard healthcare

Tiny Health has raised $33 million in an oversubscribed Series B round led by B Capital, bringing total funding to $46 million. The company provides at-home gut and vaginal microbiome tests for consumers and businesses. Revenue has crossed eight figures and is at least doubling annually, split equally between direct-to-consumer sales and its business-to-business arm, Powered by Tiny. The company has served nearly 200,000 customers and works with over 6,000 practitioners and 45 enterprise partners including Mayo Clinic. Tiny Health is allocating $5 million towards microbiome research, including studies on infant eczema prevention and conditions like IBD and menopause. Individual tests cost $249, whilst annual memberships are priced at $399. The company has grown from 21 to 41 employees around the funding round.

Yahoo Finance
Aug 13th, 2026
Tiny Health ranks No. 208 on Inc. 5000 with 1,624% revenue growth

Tiny Health, a microbiome intelligence platform, has been ranked No. 208 on the 2026 Inc. 5000 list of America's fastest-growing private companies. The Austin-based company reported 1,624% revenue growth between 2022 and 2025, placing fourth among biotech companies on the list. Founded in 2020 by CEO Cheryl Sew Hoy, Tiny Health provides gut and vaginal microbiome testing across different life stages. The company recently published three studies, including a randomised controlled trial showing personalised microbiome interventions reduced infants' odds of allergic conditions by 83%. Tiny Health's B2B platform now serves over 5,000 healthcare practitioners and partners with organisations including Mayo Clinic, Superpower, and Fullscript. The company is on track to triple revenue by year's end.

Alabama Cultural Times
Aug 13th, 2026
Tiny Health named No. 208 on the 2026 Inc. 5000 List of America's fastest-growing private companies.

Tiny Health named No. 208 on the 2026 Inc. 5000 List of America's fastest-growing private companies. Microbiome innovator recognized for 1,624% three-year revenue growth, earning a place among the nation's most successful independent businesses. AUSTIN, Texas, Aug. 13, 2026 (GLOBE NEWSWIRE) - Tiny Health, the microbiome intelligence platform for precision health at every stage of life, today announced it has been ranked No. 208 on the 2026 Inc. 5000, the annual list of the fastest-growing private companies in America. Among Biotech companies on this year's list, Tiny Health ranked fourth, with 1,624% growth between 2022 and 2025, and on pace to triple revenue by year's end. "I founded Tiny Health in 2020, when my son was one week old. Potential investors kept telling me the market was too small and that pediatrics was too niche. Today, our fastest-growing segment is adults, and we're the market leader in gut and vaginal microbiome testing from the first 1,000 days to healthy aging," said Cheryl Sew Hoy, founder and CEO of Tiny Health. Over the past year, Tiny Health has published three studies in rapid succession. Its first randomized controlled trial published in Pediatric Allergy and Immunology, Infant Restore, showed that personalized microbiome interventions reduced infants' odds of allergic conditions by 83% [1]. The company also published research linking early-life gut microbiome profiles to eczema and food allergies in Frontiers in Microbiomes [2], and a preprint demonstrating that its proprietary technology outperforms industry benchmarks in detecting clinically-relevant microbes across all life stages [3]. The science is matched by commercial momentum, as the company continues to scale its Powered by Tiny B2B platform, now embedded in the workflows of more than 5,000 healthcare practitioners and integrated with partners including Superpower, Joi + Blokes, Resbiotic, Fullscript, Mayo Clinic, Pritikin, and leading digital health platforms. "We're honored to be named to this year's Inc. 5000 list, and our growth trajectory reflects the urgent demand in the market, from families trying to understand what's happening beneath the surface of their health and take action, to health practitioners and digital health companies integrating our microbiome insights into their patient experiences," Sew Hoy said. "We're proof that you can build a rigorous science company and a fast-growing one at the same time. We're redefining the microbiome as a standard layer of personalized health. This is the next frontier of medicine." Sew Hoy's story is featured among this year's honoree profiles, along with the full Inc. 5000 list available at www.inc.com/inc5000. This year's Inc. 5000 recognizes a new class of companies redefining what growth looks like. From AI and advanced manufacturing to healthcare, consumer products, and professional services, these businesses are expanding their impact, creating jobs and proving that entrepreneurial ambition continues to fuel the U.S. economy. Among the 5,000 companies on the list, the median three-year revenue growth rate was 130%, and those companies have collectively added more than 627,208 jobs to the U.S. economy over the past three years. "Every company on the Inc. 5000 has a story of perseverance, smart decision making, and a refusal to sit still," says Mike Hofman, editor-in-chief of Inc. "Their growth reflects more than strong financial performance-it reflects creativity, resilience, and the customer focus required to build companies that make a lasting impact. We congratulate all honorees on this significant achievement." About Tiny Health Tiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, its testing platform reveals whether your microbiome is trending toward resilience or imbalance using shotgun metagenomics, proprietary AI, and one of the world's largest longitudinal datasets. Trusted by families and health practitioners alike, its research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage. Learn more at tinyhealth.com and poweredbytiny.com. Inc. 5000 List Methodology Companies on the 2026 Inc. 5000 are ranked according to percentage revenue growth from 2022 to 2025. To qualify, companies must have been founded and generating revenue by March 31, 2022. They must be U.S.-based, privately held, for-profit, and independent - not subsidiaries or divisions of other companies - as of December 31, 2025. (Since then, some on the list may have gone public or been acquired.) The minimum revenue required for 2022 is $100,000; the minimum for 2025 is $2 million. As always, Inc. reserves the right to decline applicants for subjective reasons. About Inc. Inc. is the leading media brand and playbook for the entrepreneurs and business leaders shaping its future. Through its journalism, Inc. aims to inform, educate, and elevate the profile of its community: the risk-takers, the innovators, and the ultra-driven go-getters who are creating the future of business. Inc. is published by Mansueto Ventures LLC, along with fellow leading business publication Fast Company. For more information, visit www.inc.com. Media Contact Hannah Goering Tiny Health [email protected] Tiny Health ranks No. 208 on the 2026 Inc. 5000 List. Tiny Health, the microbiome intelligence platform for precision health at every stage of life, today announced it has been ranked No. 208 on the 2026 Inc. 5000, the annual list of the fastest-growing private companies in America. Among Biotech companies on this year's list, Tiny Health ranked fourth, with 1,624% growth between 2022 and 2025. Legal Disclaimer: EIN Presswire provides this news content "as is" without warranty of any kind. Alabama Cultural Times do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.