Senior Software Engineer

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

This isnt a pitch deck. Our platform is live in production inside major US health systems - including Intermountain Health - where our AI handles real patient communication over voice and SMS and plugs directly into Epic workflows. We have a public partnership with Amazon Pharmacy. We raised a $20M Series A led by Define Ventures. Our CEO is a 2x founder; our VP of Engineering came from DeepMind. Were ~70 people, past PMF, with enterprise customers pulling us forward faster than we can hire.

Youll own features end-to-end: from a loose product requirement, through the data model and API design, to production and into a customers hands - sometimes within 48 hours.

Think about your last launch. How long between "this is obviously right" and "its live"? Whether the delay was review layers, a roadmap you didnt control, or a client who kept changing their mind - that gap is the reason this role exists. No ticket factory, no hands-off managers to route decisions through, no theatre.

The technical problems youd own

• Features built on LLMs that ship to real users in a regulated environment - which means evals, guardrails, and thinking hard about failure modes, not demo-ware

• Integration with the messy, fascinating reality of healthcare systems: Epic workflows, prior auth logic, pharmacy operations

• Full-feature architecture: data models, APIs, state, rollout - yours, end to end

• Your own feature areas health: youll watch metrics, error logs and user feedback because its yours, not because someone assigned you a dashboard

What were looking for

• Youve shipped production systems you can talk about in depth - the choices, the tradeoffs, what youd do differently

• You thrive when the path isnt fully paved. Loose requirements energize you rather than block you

• Genuine product instinct: you ask "why" when a requirement feels off, and you treat regressions personally

• AI tools are already embedded in how you work, not a thing youre meaning to try

Stack is Node/TypeScript/GCP, all greenfield - but we hire engineers, not stacks.

The practical stuff

Were remote-first across the US, though weve just opened a hub in Orlando if you ever wanted your comp to survive contact with your cost of living. And its early enough that the equity is founding-role equity, not a rounding error.