Founder · Operator · Inventor

Allan
Njoroge.

For 20 years, in three industries, I've kept asking the same question — why does the way we work look so much worse than it should? I'm answering it inside healthcare, where the chaos is biggest and the stakes are highest.

Based
Lake Tapps, WA
From
Nairobi, Kenya
Building
ShiftNex AI
Follow on X
The problem I keep solving
1.1M

Regulated work, coordinated by software that bills by the seat.

Three industries, twenty years, the same shape: people burn out, outcomes slip, and the tools get more expensive every quarter. The 1.1M US nurse shortage by 2030 (HRSA) is just the loudest version of it. I've spent my career trying to fix one corner of it at a time.

What I believe

Operators with AI
can rebuild entire industries.

01
Operator
A decade running Actriv Healthcare taught me what operators in regulated industries actually buy: not software, not features — outcomes. Four consecutive years on the Inc. 5000, peaking at #40 nationally in 2021. Seattle Inno Fire Awards — Health Nuts winner, 2022. SIA "40 Under 40" — 2024. Wharton Executive Education CEO Academy, 2022.
02
Founder
Founded ShiftNex AI in 2024 to build the first AI-native workforce platform sold as outcomes, not software. Three people, five days, four nights. From zero to a national network in twelve months — 78K+ clinicians, 108 facilities live daily, 20K+ care hours delivered.
03
Inventor
Two granted US patents in voice-AI and scheduling, with additional applications pending. Filed 2023. The technical foundation that makes outcome-as-a-service possible at the workflow layer where the work actually happens.
The longer version

I was born in Nairobi, Kenya, and grew up between Eldoret and Mombasa — the highlands and the coast. From 2007 to 2014 I worked as a defense contractor in Iraq and Afghanistan with KBR and Dyncorp. Between rotations and on the long evenings inside forward operating bases, I taught myself to build — shipping a handful of small Kenya-facing internet businesses (Simbabiz, DVPlaza, Autogy) from a laptop and an unreliable connection. I learned, before I had the language for it, what most of the work would always be: figuring out how to ship, alone, with whatever you've got.

I came home and joined Vestas America in Portland — a Fortune 500 wind energy operator. While there, in May 2017, I founded Action Healthcare Staffing LLC. I left Vestas later that year to focus on it full-time. In 2019 I founded Actriv Inc. as a more tech-forward staffing platform, and on January 1, 2021, I merged the two — combining Action's operating scale with Actriv's technology orientation under the Actriv Healthcare name. Four consecutive years on the Inc. 5000 followed — peaking at #40 nationally in 2021 — and a decade later, that operating ground became the lab where ShiftNex's core IP was developed.

I live in Lake Tapps, WA. Father of two. The thread across all of it: why does the way we work, the way we hire, the way we coordinate human time, look so much worse than it should? The thesis I'm building toward, across both Actriv and ShiftNex: operators with deep domain knowledge, equipped with AI, can rebuild entire industries from the inside out — and the regulated industries, the boring industries, the ones nobody writes about, are where it matters most.

Read the ShiftNex founding story →

How I work

Three loops. Run them daily.

No frameworks. No decks. Ship the smallest real thing, listen to what breaks, re-cut. Twenty years of operating taught me there's no other shape that survives contact with regulated reality.

01
Ship
Get a real version into the hands of one real operator this week. Not a wireframe, not a pitch — the actual thing, even if it's ugly. The clock starts the moment you decide to build.
02
Listen
Sit with the people whose week it changes. The DON, the scheduler, the nurse on shift three. Their language is the spec. Their workarounds are the roadmap.
03
Re-cut
Throw away half. Keep the half they can't stop using. Repeat next week. Patents and Inc. 5000 ranks come out of this loop — never out of planning.

What I'm thinking, while I build.

All Essays
00 / 04 · Building Now

The bets in flight.
And the ones that got me here.

Four ventures, twenty years, one through-line: operators with deep domain knowledge, equipped with AI, can rebuild entire industries from the inside out. Scroll through them — newest first.

2024 — Present · ShiftNex AI
2017 — Present · Actriv
2016 — 2017 · Eldohire
2007 — 2008 · Early Work
01 / 04 · The Bet in Flight
2024 — Present

ShiftNex AI

Founder & CEO

An AI-native healthcare workforce platform. Clinicians and facilities connect directly — no agency in the middle. The platform reads census, forecasts demand, and routes shifts before they go empty. Built by three people on Lovable, end-to-end. From zero to a national network in twelve months — sustained growth, accelerating quarter over quarter. The first proof point of the outcome-as-a-service thesis: a workforce platform that sells measurable improvement, not seat licenses.

20K+
Care hours delivered
78K+
Clinicians in network
108
Facilities live daily
02 / 04 · The Operating Ground Truth
2017 — Present

Actriv Healthcare

Founder & CEO

Founded Action Healthcare Staffing LLC in May 2017. Founded Actriv Inc. as a more tech-forward staffing platform in April 2019. Merged the two in January 2021 — the combined entity, headquartered in Tacoma, took the Actriv Healthcare name and became one of Washington State's largest healthcare staffing companies. Four consecutive years on the Inc. 5000 — peaking at #40 nationally in 2021. Inc. Regionals Pacific — #51 in 2023. Expanded into Minnesota the same year. The lab where the IP underneath ShiftNex was first developed.

#40
Inc. 5000 · 2021
4×
Inc. 5000 · '21–'24
2
States · WA + MN
03 / 04 · The Thesis
2016 — 2017

Eldohire

Founder · Portland, OR

An on-demand work platform — a mobile-first marketplace connecting vetted workers to businesses, same-day. Ahead of its technology, but the operating thesis that started everything that came after. Covered by Oregon Business in their Where They Are Now series.

2016
First US company
1st
On-demand work bet
04 / 04 · The Origin
2007 — 2008

Early Work

Solo Founder · Built on deployment

A handful of Kenya-facing internet businesses — Simbabiz, DVPlaza, Autogy — built remotely from forward operating bases during my years as a defense contractor in Iraq and Afghanistan. Shipped on bad connections, on whatever time I had between rotations. The first lessons in operating discipline.

3
Solo ventures
2
Theatres · Iraq + AFG
Chronology

The fuller arc — for the curious.

2005
Kenya National Science Congress, Physics. The pattern was already there.
2007 — 2014
Defense Contractor — Iraq and Afghanistan. KBR, then Dyncorp. Years that taught me how systems behave under load and what operating discipline really means.
2007 — 2008
Early Internet Ventures — Simbabiz, DVPlaza, Autogy. Built solo from deployment, shipped to the Kenyan market.
2015 — 2017
Vestas America — Portland, OR. Fortune 500 wind energy operator.
2016
Eldohire — Portland. On-demand work platform. The operating thesis that started everything.
May 2017
Action Healthcare Staffing LLC founded. Started while still at Vestas; left Vestas later that year to focus on it full-time.
April 2019
Actriv Inc. founded as a more tech-forward staffing platform.
Jan 2021
Actriv ↔ Action merger. The two companies combine under the Actriv Healthcare name, headquartered in Tacoma — one of Washington State's largest healthcare staffing companies at the time of the merger.
2020
NexNURSE — Board Member.
2021
Inc. 5000 — #40 nationally. Top 1% of fastest-growing private companies in America. The first year on the list, and the highest peak.
2022
Wharton Executive Education — CEO Academy. The most valuable leadership program I've taken. Same year: Seattle Inno Fire Awards — Health Nuts winner. Inc. 5000 — #138 nationally.
2023
Inc. Magazine — bylined contribution, March 2023. Inc. Regionals Pacific — #51. Inc. 5000 — #862. Expansion into Minnesota. First IP filed — voice-AI and scheduling patent applications, September 13, 2023.
2024
SIA "40 Under 40." First patent granted (April 2). MIT Sandbox + CaldwellCharting the Future of Healthcare Tech. R.I.S.E. Conversations with Caldwell. Inc. 5000 — #3,331 (fourth consecutive year). ShiftNex AI founded — independent C-corp.
April 2025
The sprint — five days, four nights, three people. The network goes live.
June 2025
Second patent granted — US 12,327,067, machine-learning continuation.
April 2026
Twelve months in. 78K+ clinicians. 108 facilities live daily. 20K+ care hours delivered. The beginning of the beginning.
Intellectual Property

The technical foundation underneath the product.

US 11,947,875 B1
Apparatus and method for maintaining an event listing using voice control.
Filed Sept 13, 2023
Granted Apr 2, 2024
Inventor: Allan Njoroge
Assignee: Actriv Healthcare Inc.
US 12,327,067 B2
Apparatus and method for maintaining an event listing using voice control — continuation.
Filed Mar 30, 2024
Granted Jun 10, 2025
Inventor: Allan Njoroge
Assignee: Actriv Healthcare Inc.
How to work with me

Three doors. Pick one.

I keep my list of conversations short. If you're in one of these three lanes, the door is open — and the fastest way through is to say so up front.

Lane 01
Build with me
Operators · Founders · Regulated industries
You're operating inside a regulated industry — healthcare, defense, energy, logistics — and you can feel the gap between what your team needs and what the software does. We talk about whether AI changes the shape of the problem or just the bill.
Start a build conversation
Lane 02
Back what I'm building
Investors · Strategic partners
ShiftNex is the first proof point of the outcome-as-a-service thesis — built by three people, two patents granted, a national network in twelve months. If "operators with AI rebuild regulated industries" is a bet you're taking, let's talk.
Investor / partner intro
Lane 03
Borrow my brain
Advisory · Talks · Podcasts
A handful of advisory seats a year, a few stages, the occasional podcast. Topics I actually have receipts on: building inside regulated industries, voice-AI in workflow, taking a company from zero to Inc. 5000 #40, and shipping when you don't know how to code.
Inquire

A partial record — for those who like receipts.

What I'm not

A few things I've stopped pretending to be.

Three doors. Pick the one that fits.

Each lane goes to a different inbox so I can read it in the right context. If you're not sure which lane you're in — pick Borrow.

One more thing

I came up the long way — Nairobi to forward operating bases to building companies in the Pacific Northwest. Different countries, different uniforms, same question underneath: why does the way we work look so much worse than it should? Everything I've built is one more attempt at an answer. If you're working on a piece of it too, I'd like to hear from you.