QA Lead

About Foundation Health

Foundation Health is an AI operating system for pharmacy - built by a team who lived the problem firsthand, not one that came to healthcare from the outside. Every day, prior authorizations delay prescriptions, pharmacists lose hours to paperwork instead of patients, and prescriptions slip through the cracks between health systems. We believe thoughtfully applied AI can finally change that - deep, integrated infrastructure that streamlines how care is coordinated, purpose-built for the complexity of specialty pharmacy.

Were building toward a world where pharmacy teams spend their time on patients, not paperwork - where AI handles the routine so clinicians can focus on what only humans can do. Getting there takes the right people. Were looking for curious, ambitious folks who want to help solve healthcares hardest problems - for our patients, our partners, and each other.

The Role

Youd be joining alongside our QA Lead in the US, with real ownership of building this out properly in the UK: strategy, tooling, standards, process - all still very much taking shape. Theres no hands-off management here - everybody, at every level, is hands-on, and that includes you.

And because were AI-native by design, testing here isnt testing conventional software. Youll own how we test AI-led products in the UK - agentic workflows, LLM-based features, non-deterministic behaviour that doesnt fit a traditional pass/fail script.

Weve built an AI operating system for pharmacies, tackling the operational infrastructure behind things like paperwork and care coordination. Its in production with enterprise health systems across the US, and were working directly with one of the biggest names in pharmacy.

What youll actually do

• Build out the QA function (strategy, process, tooling, standards), working with our US QA Lead so both sides run as one team

• Own how we test AI-led features: agentic workflows, LLM outputs and evaluation frameworks. Youll work out how to sign something off when it doesnt behave the same way twice

• Write automation in Playwright and TypeScript, and do manual testing, regression and UAT yourself when a release needs it

• Work with Engineering and Product so quality is part of how things get built, not a gate at the end

• Help hire and grow the QA team as we scale

Who you are

• You build things. Youve grown a QA function from something small, or youve been itching to. A fully formed process to inherit isnt what gets you out of bed.

• You actually use AI. Its part of your day-to-day already. Youve tested AI-led products, or you can explain clearly why its a different problem from testing normal software.

• You do every part of the job. Youre as happy writing a Playwright suite as running a UAT session. You dont think of any of it as beneath you.

• Your fundamentals are solid. Test strategy, defect management and release process are second nature, even when the thing youre testing is new.

• You lead by doing. Youll grow into leading QA in the UK, but youll still be hands-on the whole way.

The setup

Hybrid, Manchester city centre, 1-2 days a week in the office. When youre working out what "correct" even means for an AI system, a whiteboard and the right three people in a room beat a Slack thread every time.

Not local? We offer relocation support for the right person. However, you must currently be UK-based.

Were Series A, theres early equity, and the work genuinely changes how people get their medication.