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

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.

As a Senior Engineer, youll take features from a loose requirement all the way to production. That covers the data model, the APIs, the LLM layer, the rollout and the monitoring afterwards. Youll work on prior auth logic, Epic workflows and AI agents that talk to patients, and things ship fast, sometimes within 48 hours of the idea. Theres no ticket factory and no layers of sign-off.

The technical problems youd own

• Features built on LLMs that ship to real users in a regulated environment. That 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 and pharmacy operations

• Full-feature architecture covering data models, APIs, state and rollout. Its yours, end to end

• Your own feature areas health. Youll watch metrics, error logs and user feedback because the area is 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, and what youd do differently

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

• Genuine product instinct. You ask "why" when a requirement feels off, and you take regressions personally

• AI tools are already part of how you work, not something youre meaning to try

Where youll work

This is a hybrid role, 3 days a week in our downtown Orlando office. That 48-hour turnaround happens because the people who need to agree are in the same room. You can sketch the data model on a whiteboard at 10am and have it in review by the afternoon. Our VP of Engineering works from the same office, everything is greenfield, and theres very little red tape between you and production.

The practical stuff

Our packages include equity, and its early enough that it actually means something, not a rounding error. Orlando also means your comp survives contact with your cost of living, and Florida has no state income tax. Were backed by Define Ventures, led by a 2x founder, and our VP of Engineering came from DeepMind.