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.

Heres the early-career fork in the road: at a big company, youll spend year one on internal tooling, ship through six layers of review, and learn how a large org works. Here, youll ship to production in your first week, on systems pharmacists and patients actually depend on, sitting (virtually or in Orlando) next to engineers whove built at serious scale. Same years of your career. Very different compounding.

What youll actually do

• Ship well-scoped features and fixes independently, with proper test coverage, at a pace youll be proud of

• Work AI-native from day one - Claude, Cursor, the lot - as a first-class part of how you build, with the judgment to know when the output needs a second look

• Learn the domain deeply: who the pharmacist is, what workflow theyre stuck in, why your ticket exists - and ask "why" when a requirement feels off

• File the bugs and UX issues you notice without waiting to be told

• Level up fast through code review and pairing with engineers whove built serious systems - the feedback loop here is customers, not committees

What were looking for

• Sharp CS fundamentals and evidence you love building: side projects, internships, open source, a startup that didnt work - something you made because you couldnt not

• Learning velocity. You pick things up fast and you enjoy the discomfort of not knowing yet

• High agency and curiosity about the product, not just the code

• Already building with AI tools, and thoughtful about their limits

Stack is Node/TypeScript/GCP. If youve not used it, thats fine - thats the point of learning velocity.

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.