/Companies

DirectShifts

YC S19

New York City, US · Founded 2017 · 72 employees · Hiring · 14 known investors

Find your way into DirectShifts

Sign up to see every warm intro you have to DirectShifts

  • Paths you didn't know you had: your email and LinkedIn already hold routes to the DirectShifts team. We find them for you
  • 2nd- and 3rd-degree connections: the friend-of-a-friend routes that take hours to manually find through your inbox or LinkedIn
  • Answers now, not in days: momentum is everything in a raise. Skip asking around whether someone knows someone

Days of research, done the moment you sign in, with every route ranked by how warm it is.

DirectShifts operates a platform connecting shift workers with employment opportunities. The company serves job seekers and employers in the gig and flexible work sector.

Also known as DirectShifts Holdco Inc. · FirstLocum Inc., DirectShifts Holdco Inc. · Direct Shifts

B2B MarketplacesFuture of WorkHealthtechHR TechSaaSRecruitingHealthcareUnited States of AmericaAmerica / CanadaFully Remote

Founders & leadership· Y Combinator alumni (S19)

DirectShifts was founded in 2017 by Sai Thumuluru and Vamshi krishna Gunukula.

STSai Thumuluru
Sai ThumuluruCEO and founderSai Thumuluru is founder of DirectShifts, a platform that connects shift workers with employment opportunities in the gig and flexible work sector.
VKVamshi krishna Gunukula
Vamshi krishna GunukulaChief Operating OfficerHe has worked with healthcare organizations on workforce optimization, staffing models, and cost accounting, with expertise in business intelligence, data analytics, operations research, and process optimization.
SAShrinath Aithal
Shrinath AithalDirector of EngineeringCTO of DirectShifts, a platform connecting shift workers with employment opportunities. Aithal has background in DevOps, software development, and management.
AP
Anita PramodaFounder

Investors · 14

Altaclub VCreported$200K

How we know: Y Combinator's founder network · Not right? Tell us

AltaIR CapitalreportedHerzliya

How we know: research · golden.com · Y Combinator's founder network · Not right? Tell us

Emles Advisorsreported

How we know: Y Combinator's founder network · Not right? Tell us

SignalFirereportedSan Francisco · $250K – $15M

How we know: Y Combinator's founder network · Not right? Tell us

Venture Investment AssociatesreportedPeapack

How we know: Y Combinator's founder network · Not right? Tell us

Ying FundreportedLos Angeles

How we know: Y Combinator's founder network · Not right? Tell us

Also in the syndicate · 1

MedStartr

Company profile

researched Aug 2026

DirectShifts operates an online healthcare staffing and recruiting platform that matches clinicians with healthcare employers and handles the administrative work around placement. Clinicians create a single universal profile, store credentialing documents in a digital wallet, browse and apply to jobs, and receive invitations to apply directly from employers; employers search and filter the clinician database, contact candidates directly by text, email or phone from the platform, post an unlimited number of roles, and use an AI matching tool to surface top candidates. Job types span direct hire (full- and part-time), per diem, travel, surge staffing and locum tenens, covering physicians, nurse practitioners, physician assistants, registered nurses, LVN/LPNs, CRNAs, therapists, medical assistants, technicians and RRT/OT/PT roles across the United States.

Beyond matching, the company provides operational infrastructure: multi-state licensing, credentialing, payer enrollment for Medicare, Medicaid and commercial plans, collaborative physician and supervision arrangements for advanced practice providers, telehealth scheduling, timesheets, legal work and malpractice insurance with full tail coverage. DirectShifts may act as employer of record for some locum contracts; locum and per diem hires are paid weekly, travel expenses including flight and hotel are reimbursed for travel roles, and an accountant and tax documentation are provided for 1099 workers. Product lines listed by the company include staffing and sourcing solutions, telehealth staffing and recruitment, an internal resource pool offering, an ATS and job board, and licensing and credentialing services. The platform is accessible via web browser and Android/iOS apps with no software installation required.

The company positions itself around removing intermediaries between clinicians and employers, describing itself as a physician-led team of physicians and entrepreneurs seeking to modernize healthcare recruiting. It reports a 92% clinician satisfaction rate, more than 50,000 active clinicians on the platform, over 1,000 facilities served, and a database of over 500,000 confirmed clinicians.

Founding story

The company was founded by freelance physicians, recruiters, healthcare entrepreneurs and technology experts who had encountered the problems of healthcare recruiting directly, and describes the platform as inspired by the personal need of its physician-led team. Sai Kumar Thumuluru, who holds a PhD in aerospace engineering and an MBA from Georgia Tech, serves as founder and CEO; Vamshi Krishna Gunukula is co-founder and COO and Shrinath Aithal is CTO.

Business model

DirectShifts runs a two-sided marketplace: the platform is free for clinicians, who pay nothing to create a profile or apply to jobs, while healthcare employers use the platform to source, hire and manage clinical staff. The company facilitates direct hire, per diem, travel, surge and locum tenens placements, pays locum and per diem workers weekly, and can act as employer of record on some locum contracts. Where a temporary clinician is converted to permanent staff, the employer pays what the company describes as a low buyout fee rather than being subject to lockout periods.

Revenue is generated from healthcare employers rather than clinicians, for whom the platform is free. Monetized services include staffing and sourcing, telehealth staffing and recruitment, an internal resource pool, an ATS and job board, licensing and credentialing, and temp-to-permanent conversion buyout fees.

Traction

The company reports more than 50,000 active clinicians on the platform, over 1,000 facilities served, a 92% clinician satisfaction rate and a database of over 500,000 confirmed clinicians. At Y Combinator's Summer 2019 Demo Day it reported 51 hospitals on the platform. Team size is listed at 72. The company has been recognized as "Best Healthcare Startup" and a "Top 10 Healthcare Company".

Latest developments

The company markets itself as workforce and operational infrastructure for telehealth and digital health companies scaling nationwide clinical teams, covering recruiting, multi-state licensing, credentialing, payer enrollment, collaborative physician supervision, telehealth scheduling and workforce operations. It is hiring for full stack engineering, enterprise sales and marketing operations roles, including a remote engineering position in India.

▸Full profile — market position, technology, go-to-market, geography, history

Market position

The company describes itself as positioned against traditional staffing agencies and external recruiters, emphasizing direct clinician-employer contact, pay transparency and reduced administrative layers. It has been listed among New York HR and future-of-work startups and is categorized under recruiting, healthcare and healthtech. Apploi is listed as a comparable New York healthtech workforce company.

DirectShifts emphasizes disintermediation — clinicians and employers negotiate and communicate directly on the platform without recruiter gatekeeping — combined with a free, no-repeat-application clinician experience and a bundled back-office layer covering credentialing, multi-state licensing, payer enrollment, malpractice insurance with full tail coverage, travel reimbursement and weekly pay. It offers no lockout periods on temp-to-perm conversions and markets a single platform in place of separate internal recruiting, licensing, credentialing, supervision and scheduling teams.

Technology

A web and mobile platform (browser plus Android and iOS apps) that hosts clinician profiles, a credentialing document wallet, a job board and applicant tracking system, direct clinician-employer messaging, and an AI matching tool that automatically surfaces top candidates for employers. The company also builds workforce automation for multi-state licensing, credentialing, payer enrollment and telehealth scheduling. Engineering roles reference a React and Node stack.

Go-to-market

Clinicians are acquired through free self-service sign-up, job-match emails, a referral ("Refer & Earn") program and content resources; the company also runs happy hours and private events with career planning, financial, legal and insurance experts. Employers are reached through a direct sales motion including free consultations, enterprise account executives targeting health systems and staffing leaders, and telehealth-focused sales and key-account management.

Two customer groups: healthcare employers — telehealth and digital health companies, hospitals, health systems, physician groups and clinics of all sizes — and clinicians, including physicians, nurse practitioners, physician assistants, registered nurses, LPN/LVNs, CRNAs, allied health professionals, behavioral health clinicians, therapists, medical assistants and technicians.

Geography

Headquartered in New York City with a remote-first team, including engineering roles based in India. Jobs are posted for healthcare occupations across the United States, and the company supports employers expanding into new states through multi-state licensing and credentialing.

History

DirectShifts participated in Y Combinator's Summer 2019 batch and disclosed a seed round announced in August 2019 with Y Combinator leading alongside AltaIR Capital and MedStartr among others. In November 2022 it announced a strategic growth investment from Serent Capital, with the amount undisclosed. Its site notes the team has grown each year since its start and carries a 2018-2026 copyright range. The company later expanded its offering from shift matching into a broader workforce infrastructure platform covering licensing, credentialing, payer enrollment and telehealth workforce operations.

Compiled by commissioned research from 8 cited public sources — announcements, filings, and press listed under research sources below.

Key figures

latest reported
Active clinicians on platformJan 202650,000 clinicians
Clinician satisfaction rateJan 202692%
Confirmed clinicians in networkJan 2026500,000 clinicians
Facilities servedJan 20261,000 facilities
Hospitals on platformAug 201951 hospitals
Team sizeJan 202672 employees

Company-reported or press-reported figures, each dated to when it was claimed — not independently audited.

Related companies · 9

CandidatelyCandidately is a software platform providing AI-powered tools and infrastructure for staffing agencies, including an AI resume builder, candidate search, talent marketplace, and client portal. The company serves staffing firms and recruiters seeking to modernize workflows beyond traditional email and spreadsheet-based processes.
Vivian HealthHealthTrust Workforce Solutions is a healthcare staffing and recruitment platform that connects clinical professionals with travel and local contract positions at hospitals and healthcare facilities nationwide. The company provides nurses, technologists, therapists, and other healthcare workers with access to job opportunities while supporting healthcare facilities with workforce solutions.
BluecrewBlueCrew is an industrial staffing platform that places workers into light industrial roles. It operates as the nation's largest light industrial staffing provider, combining digital technology with staffing services.
Incredible HealthIncredible Health provides personalized career coaching to nurses seeking new employment, offering one-on-one support from experienced nurses and career experts for job search, interview preparation, resume review, and offer negotiation.
InstaworkInstawork is a marketplace that connects local businesses with hourly workers for short-term staffing needs. The platform enables businesses to hire temporary labor efficiently and provides income opportunities for hourly workers globally.
AdniAdni operates a platform connecting healthcare workers with employment opportunities while providing tools for credential management and professional networking; the platform also serves healthcare employers seeking to identify and screen clinical talent through AI-powered recruiting capabilities.
MatchaMatcha operates a hiring platform for hospitals and health systems to identify and match clinical staff candidates. The service aims to reduce hiring timelines and costs compared to traditional job boards and recruitment agencies.
NursaNursa operates a marketplace platform that connects healthcare facilities with nurses and nursing assistants to fill per diem shifts on demand.
trustedTrusted Health builds AI-driven products for healthcare staffing and scheduling, including a marketplace connecting nursing and allied clinicians to contract jobs across all 50 US states and a workforce optimization platform for hospitals and health systems. Its tools forecast demand, balance schedules, and automate matching and recruitment to fill open shifts.

Companies working in the same space as DirectShifts.

Timeline · 2

launches, deals, and filings
Nov 2022
Serent Capital growth investment announced

Serent Capital announced a strategic growth investment in DirectShifts; the amount was undisclosed. Announced via Business Wire, Serent Capital's portfolio page and DirectShifts' own announcement.

source ↗

Aug 2019
Presented at Y Combinator Summer 2019 Demo Day

DirectShifts was profiled in TechCrunch's roundup of startups from day 2 of Y Combinator's Summer 2019 Demo Days as a marketplace connecting doctors to hospitals for short-term shift work, with 51 hospitals on board at the time.

source ↗

Dated company events from announcements, filings, and press; legal rows summarize public dockets and regulator releases.

Legal entities · 2

corporate structure
DirectShifts Holdco Inc.
FirstLocum Inc., DirectShifts Holdco Inc.

▸Research sources · 8

primary sources listed

8 public sources were cited for this profile; the first-party ones are listed here.

Frequently asked questions

What does DirectShifts do?
DirectShifts is a healthcare workforce platform that recruits, licenses, credentials and manages clinicians for employers.
Who founded DirectShifts?
DirectShifts was founded by Sai Thumuluru, Vamshi krishna Gunukula in 2017.
Who are DirectShifts's investors?
DirectShifts's investors include Y Combinator, UpHonest Capital, Emles Venture Partners, MedStartr Ventures, Pioneer, Soma Capital, Altaclub VC, AltaIR Capital and 5 more.
Where is DirectShifts headquartered?
DirectShifts is headquartered in New York City, US.