Making Healthcare Hiring Human with Ethical AI

Hiring for care is unlike any other sector. Recruiters are looking for people who can bring empathy, resilience, and energy to the most demanding human roles. Whether it’s dental care, mental health, or aged care, new hires are charged with looking after others when they’re most vulnerable. The stakes are high. 

Hiring for care is exactly where leveraging ethical AI can make the biggest impact.

Hiring for the traits that matter

The best carers don’t always have the best CVs.

That’s why our chat-based AI interview doesn’t screen for qualifications. It screens for the the skills that matter when caring for others. The traits that define a brilliant care worker, things like:

Empathy, Self-awareness, Accountability, Teamwork, and Energy. 

The best way to uncover these traits is through structured behavioural science, delivered through an experience that allows candidates to open up. Giving candidates space to give real-life, open-text answers. With no time pressure or video stress. Then, our AI picks up the signals that matter, free from any demographic data or bias-inducing signals.

Candidates’ answers to our structured interview questions aren’t simply ticking boxes. They’re a window into how someone shows up under pressure. And they’re helping leading care organisations hire people who belong in care and those who stay.

Inclusion, built in

Inclusivity should be a core foundation of any talent assessment, and it’s a fundamental requirement for hirers in the care industry. 

When healthcare hirers use chat-based AI interviews, designed to be inclusive for all groups, candidates complete their interviews when and where they choose, without the bias traps of face-to-face or phone screening. There are no accents to judge, no assumptions, just their words and their story.

And it works:

• 91.8% of carer candidates complete their interviews
• Carer candidates report 9/10 Candidate Satisfaction with their interview experience 
• 80% of candidates would recommend others to apply 
• Every candidate receives personalised feedback, regardless of the outcome

Drop-offs are reduced, and engagement & employer brand advocacy go up. Building a brand that candidates want to work for includes providing a hiring experience that candidates want to complete. 

Real outcomes in care hiring

Our smart chat already works for some of the most respected names in healthcare and community services. Here’s a sample of the outcomes that are possible by leveraging ethical AI, a validated scientific assessment, wrapped in an experience that candidates love: 

Anglicare – a leading provider of aged care services

• Time-to-offer dropped from 40+ days to just 14
• Candidate pool grew by 30%
• Turnover dropped by 63%

Abano Healthcare – Australasia’s largest dental support organisation

• 1,213 recruiter hours saved  in the first month (67 hours per individual hiring team member) 
• $25,000 saved in screening and interviewing time

Berry Street – a not for profit family & child services organisation

• Time-to-hire down from 22 to 7 days
• 95.4% of candidates completed their chat interviews

A smarter way to hire

The case study tells the full story of how Sapia.ai helped Anglicare, Abano Healthcare, and Berry Street transform their hiring processes by scaling up, reducing burnout, and hiring with heart. 

Download it here:

A new study has just confirmed what many in HR have long suspected: traditional psychometric tests are no longer the gold standard for hiring.

Published in Frontiers in Psychology, the research compared AI-powered, chat-based interviews to traditional assessments, finding that structured, conversational AI interviews significantly reduce social desirability bias, deliver a better candidate experience, and offer a fairer path to talent discovery.

We’ve always believed hiring should be about understanding people and their potential, rather than reducing them to static scores. This latest research validates that approach, signalling to employers what modern, fair and inclusive hiring should look like.

The problem with traditional psychometric tests

While used for many decades in the absence of a more candidate-first approach, psychometric testing has some fatal flaws.

For starters, these tests rely heavily on self-reporting. Candidates are expected to assess their own traits. Could you truly and honestly rate how conscientious you are, how well you manage stress, or how likely you are to follow rules? Human beings are nuanced, and in high-stakes situations like job applications, most people are answering to impress, which can lead to less-than-honest self-evaluations.

This is known as social desirability bias: a tendency to respond in ways that are perceived as more favourable or acceptable, even if they don’t reflect reality. In other words, traditional assessments often capture a version of the candidate that’s curated for the test, not the person who will show up to work.

Worse still, these assessments can feel cold, transactional, even intimidating. They do little to surface communication skills, adaptability, or real-world problem solving, the things that make someone great at a job. And for many candidates, especially those from underrepresented backgrounds, the format itself can feel exclusionary.

The Rise of Chat-Based Interviews

Enter conversational AI.

Organisations have been using chat-based interviews to assess talent since before 2018, and they offer a distinctly different approach. 

Rather than asking candidates to rate themselves on abstract traits, they invite them into a structured, open-ended conversation. This creates space for candidates to share stories, explain their thinking, and demonstrate how they communicate and solve problems.

The format reduces stress and pressure because it feels more like messaging than testing. Candidates can be more authentic, and their responses have been proven to reveal personality traits, values, and competencies in a context that mirrors honest workplace communication.

Importantly, every candidate receives the same questions, evaluated against the same objective, explainable framework. These interviews are structured by design, evaluated by AI models like Sapia.ai’s InterviewBERT, and built on deep language analysis. That means better data, richer insights, and a process that works at scale without compromising fairness.

Key Findings from the Latest Research

The new study, published in Frontiers in Psychology, put AI-powered, chat-based interviews head-to-head with traditional psychometric assessments, and the results were striking.

One of the most significant takeaways was that candidates are less likely to “fake good” in chat interviews. The study found that AI-led conversations reduce social desirability bias, giving a more honest, unfiltered view of how people think and express themselves. That’s because, unlike multiple-choice questionnaires, chat-based assessments don’t offer obvious “right” answers – it’s on the candidate to express themselves authentically and not guess teh answer they think they would be rewarded for.

The research also confirmed what our candidate feedback has shown for years: people actually enjoy this kind of assessment. Participants rated the chat interviews as more engaging, less stressful, and more respectful of their individuality. In a hiring landscape where candidate experience is make-or-break, this matters.

And while traditional psychometric tests still show higher predictive validity in isolated lab conditions, the researchers were clear: real-world hiring decisions can’t be reduced to prediction alone. Fairness, transparency, and experience matter just as much, often more, when building trust and attracting top talent.

Sapia.ai was spotlighted in the study as a leader in this space, with our InterviewBERT model recognised for its ability to interpret candidate responses in a way that’s explainable, responsible, and grounded in science.

Why Trust and Candidate Agency Win

Today, hiring has to be about earning trust and empowering candidates to show up as their full selves, and having a voice in the process.

Traditional assessments often strip candidates of agency. They’re asked to conform, perform, and second-guess what the “right” answer might be. Chat-based interviews flip that dynamic. By inviting candidates into an open conversation, they offer something rare in hiring: autonomy. Candidates can tell their story, explain their thinking, and share how they approach real-world challenges, all in their own words.

This signals respect from the employer. It says: We trust you to show us who you are.

Hiring should be a two-way street – a long-held belief we’ve had, now backed by peer-reviewed science. The new research confirms that AI-led interviews can reduce bias, enhance fairness, and give candidates control over how they’re seen and evaluated.

Barb Hyman, CEO & Founder, Sapia.ai

It’s time for a new way to map progress in AI adoption, and pilots are not it. 

Over the past year, I’ve been lucky enough to see inside dozens of enterprise AI programs. As a CEO, founder, and recently, judge in the inaugural Australian Financial Review AI Awards.

And here’s what struck me:

Despite the hype, we still don’t have a shared language for AI maturity in business.

Some companies are racing ahead. Others are still building slide decks. But the real issue is that even the orgs that are “doing AI” often don’t know what good looks like.

You don’t need more pilots. You need a maturity model.

The most successful AI adoption strategy does not have you buying the hottest Gen AI tool or spinning up a chatbot to solve one use case. What it should do is build organisational capability in AI ethics, AI governance, data, design, and most of all, leadership.

It’s time we introduced a real AI Maturity Model. Not a checklist. A considered progression model. Something that recognises where your organisation is today and what needs to evolve next, safely, responsibly, and strategically.

Here’s an early sketch based on what I’ve seen:

The 5 Stages of AI Maturity (for real enterprises)

1. Curious
   • Awareness is growing across leadership
   • Experimentation led by innovation teams
   • Risk is unclear, appetite is cautious
   • AI is seen as “tech”
2. Reactive
   • Gen AI introduced via vendors or tools (e.g., copilots, agents)
   • Some pilots show promise, but with limited scale or guardrails
   • Data privacy and sovereignty questions begin to surface
   • Risk is siloed in legal/IT
3. Capable
   • Clear policies on privacy, bias, and governance
   • Dedicated AI leads or councils exist
   • Internal use cases scale (e.g., summarisation, scoring, chat)
   • LLMs integrated with guardrails, safety reviewed
4. Strategic
   • AI embedded in workflows, not layered on
   • LLM/data infrastructure is regionally compliant
   • AI outcomes measured (accuracy, equity, productivity)
   • Teams restructured around AI capability — not just tech enablement
5. AI-Native
   • AI informs and transforms core decisions (hiring, pricing, customer service)
   • Enterprise builds proprietary intelligence
   • FAIR™/RAI principles deeply operationalised
   • Talent, systems, and leadership are aligned around an intelligent operating model

Why this matters for enterprise leaders

AI is a capability.And like any capability, it needs time, structure, investment, and a map.

If you’re an HR leader, CIO, or enterprise buyer, and you’re trying to separate the real from the theatre, maturity thinking is your edge.

Let’s stop asking, “Who’s using AI?”
And start asking: “How mature is our AI practice and what’s the next step?”

I’m working on a more complete model now, based on what I’ve seen in Australia, the UK, and across our customer base. If you’re thinking about this too, I’d love to hear from you.