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 Software Engineer, youll ship features and fixes across the product: prior auth workflows, Epic integrations, and the AI agents that handle patient calls and texts. Youll own your work end to end, build with AI tools every day, and be trusted to make the call, from your first week.

At a big company, year one is usually internal tooling and six layers of review. Here, youll ship to production in your first week, on systems pharmacists and patients actually depend on, in the same room as engineers whove built at serious scale.

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, with Claude, Cursor and the rest as a core part of how you build, and 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, and why your ticket exists. 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. Here, the feedback comes from customers, not committees

What were looking for

• Sharp CS fundamentals and evidence you love building. That could be side projects, internships, open source, or 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

• Youre already building with AI tools and you think carefully about their limits

Where youll work

This is a hybrid role, 3 days a week in our downtown Orlando office, and early in your career thats a real advantage. Most of what makes a great engineer isnt written down anywhere. Its overhearing how a senior engineer argues a design through, or turning your chair round to ask a question instead of waiting a day for a Slack reply. Our VP of Engineering works from the same office. Everything is greenfield, so youll learn on modern code, not by untangling someone elses ten-year-old mess.

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.