Overview
Carl Madi is co-founder and CEO of Stepful[1], a healthcare career training platform that participated in Y Combinator's S21 cohort[2]. Madi founded Stepful to address healthcare workforce shortages by partnering with health systems to develop clinical workforces through internal training pathways and community-based graduate programs spanning allied health, nursing, and degree-granting credentials[3]. Prior to Stepful, Madi held positions at Handy HQ as General Manager of Direct to Consumer Business[5], at Amino Apps as General Manager for New and Emerging Markets[6], and at Uber in strategy, planning, and operations roles[7][8]. Madi's earlier career included consulting work at A.T. Kearney[9]. Madi holds an MBA from the Wharton School[10] and completed research work at Stanford University[11].
Profile introduction
I co-founded Stepful because healthcare's workforce shortage is one of the most solvable problems in American healthcare and very few people are solving it at the root. We partner with health systems to build the clinical workforce they actually need. We power internal training pathways that turn existing staff into higher-credentialed talent, and we bring in new, practice-ready graduates from the communities they serve at scale. Our programs span allied health, nursing, and degree-granting pathways. The model works because the outcomes are real. Tens of thousands of practice-ready graduat…
Career history
- Co-Founder & CEOMay 2021 to PresentStepful
- General Manager, Direct to Consumer BusinessOct 2019 to Apr 2021Handy HQ
- General Manager - New and Emerging MarketsMay 2017 to Mar 2019Amino Apps
- Global Strategy and Planning ManagerJan 2015 to Jul 2015Uber
- Operations and Logistics ManagerMar 2013 to Jan 2015Uber
- ConsultantFeb 2010 to Aug 2013A.T. Kearney
Education
Master of Business Administration - MBAThe Wharton School
Research, Research AnalystStanford University
Insights & ideas
The through-line
Carl Madi's fixed idea is that individual attention is not something a training company sheds as it grows. Stepful began with a cohort of 10 to 15 students whom he and his co-founder Tresia coached personally, and the claim he keeps returning to is that the same relationship survived the move to 20,000 monthly active students [1]. The doubt he quotes back at himself is the industry's: "Everyone told us this will not scale. You will not be able to get graduation rates of 75 to 80% when you have tens of thousands of students" [1]. His evidence that it did scale is not a metric but a repeated sentence in student reviews. Four years ago they read "Stepful was with me every step of the way," and, as he tells it, tens of thousands of students later they still do [1].
Running underneath that is a preoccupation with career mobility for working people, carried over from his time at Uber and Handy into building a healthcare training company aimed at the sector's skills gap [4][6].
On refusing to let scale dilute the service
The founding period was deliberately unautomated, and Madi treats that as formative rather than embarrassing. There was no product at first: they signed up the first fifteen students, split them between the two founders, and each founder coached their half "from the moment they started until they found the job" [1]. That meant manually creating Zoom links for every class and sending study material by hand [1]. It extended to the clinical training, where the founders were the students' first practice subjects for blood draws, an experience Madi describes in terms of the bruises it left [1]. Job placement was equally hands-on, done by calling hospitals directly and hustling to place people [1].
The point of retelling this is to set the standard the company is held to now. His formulation is unconditional: "We do whatever it takes for them to succeed and we will continue doing that no matter you know how many students we have thousands hundred thousand every student that goes through Stepful we're there for them at every step of the way" [1]. Reading student reviews is how he audits that promise, and he frames the exercise as a corrective for himself. A review from a divorced 43-year-old mother of five who had assumed she would spend her life "watching everyone else around" achieve things prompts him to say it "reminds me of why we do Stepful," and he reads it as proof that the company is "empowering people and it's there with them at every step of the way, which is incredibly important for us" [2].
On how the company got started
Madi began working on the idea in late 2020 and wanted to talk to an education expert, so he called Tresia, whom he had known from engineering school [1]. His test for the conversation was energy rather than logic: a call scheduled for thirty minutes ran for hours, and he uses the criterion that you finish "more energized than you are depleted" [1]. He then spent weeks unable to sleep on the strength of it, convinced that the idea would be big and would help large numbers of people upskill and find jobs [1].
The company was also shaped by an external ultimatum. Y Combinator's verdict on the founding pair was that they could not build the product themselves and needed someone on the team who could build the program, giving them three weeks to find a CTO [1]. Madi's search method was to work through who he knew who was "crazy enough to like join this business" [1]. What closed the hire was a photograph from the first cohort's graduation party, held in Central Park during the pandemic, with ten or twelve people holding the certificates that had got them into healthcare jobs [1]. Four years on, Madi's summary of the period is that they grew a great deal, launched many programs, hired well and went through a lot of ups and downs [1].
On career mobility and the healthcare skills gap
Madi traces his interest in creating career mobility for workers to his time at Uber and Handy, and describes carrying that motivation into Stepful's mission of closing the healthcare skills gap and delivering outcomes at scale [4][5][6].
Takeaways
- The core bet is that graduation rates of 75 to 80 percent can survive growth into the tens of thousands of students, against near-universal advice that they would not [1].
- Stepful launched with no product: the two founders each personally coached half of a 10 to 15 student cohort through training, clinicals and job placement [1].
- Madi treats consistency in student reviews across four years, specifically the phrase about being there "every step of the way," as the real measure of whether personalization survived scale [1].
- Reading customer reviews is a deliberate practice for reconnecting with the mission, and he singles out non-traditional students such as a 43-year-old mother of five returning to school [2].
- Y Combinator rejected the founding team as unable to build the product and set a three-week deadline to find a CTO; the hire was won by a photo of the first cohort's Central Park graduation [1].
- His passion for creating career mobility for workers originated at Uber and Handy and now drives Stepful's focus on the healthcare skills gap [4][6].
Media & appearances
- An Educated GuestApple PodcastsS3E10 | Outcomes at Scale: Carl Madi on Stepful's Mission to Close the Healthcare Skills GapIn this powerful episode of An Educated Guest, host Todd Zipper sits down with Carl Madi, the founder and CEO of Stepful. Carl shares his journey from Uber and Handy, where he developed a passion for creating career mobility for workers, to building a c Additional recording: An Educated Guest.
- YouTubeStepful's Founding Story — Looking Back at 4 Years of StepfulCarl Madi discusses Stepful's founding in late 2020, the early challenges with Y Combinator requiring them to find a CTO within 3 weeks, and how he and co-founder Tresia manually coached the first 10-15 students through their healthcare training and job placement. He describes scaling from those initial students to 20,000 monthly active students over four years while maintaining personalized support for each student.
- YouTubeCEO Reads Real Reviews - YouTubeCarl Madi, CEO of Stepful, reads and discusses a customer review from a 43-year-old mother of five who used Stepful to return to school and pursue a healthcare career. He explains that the review exemplifies Stepful's mission of empowering people and supporting them throughout their educational journey.
- S3E10 | Outcomes at Scale: Carl Madi on Stepful's ... - iVooxListen to this episode of An Educated Guest for free on iVoox. In this powerful episode of An Educated Guest, host Todd Zipper sits down with Carl Madi, the founder and CEO of Stepful. Carl shares his journey from...
iVoox
- Apple PodcastsS3E10 | Outcomes at Scale: Car… - An Educated Guest - Apple ...In this powerful episode of An Educated Guest, host Todd Zipper sits down with Carl Madi, the founder and CEO of Stepful. Carl shares his journey from Uber and Handy, where he developed a passion for creating career mobility for workers, to building a c
- A Los Pies Del ReyApple PodcastsVenciendo a Madián - Juan Carlos Parra (2012-07-08)
- Vida RTV plusApple PodcastsVenciendo a Madián - Juan Carlos Parra (2012-07-08)
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