Senior Software Engineer

Foundation Health is an AI operating system for pharmacy, built by a team who lived the problem firsthand. 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. We're 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. We're looking for curious, ambitious folks who want to help solve healthcare's hardest problems - for our patients, our partners, and each other.

This isn't 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. We're ~70 people, past PMF, with enterprise customers pulling us forward faster than we can hire.

You'll own features end-to-end: from a loose product requirement, through the data model and API design, to production and into a customer's hands — sometimes within 48 hours.

Think about your last launch. How long between "this is obviously right" and "it's live"? Whether the delay was review layers, a roadmap you didn't control, or a client who kept changing your 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 you'd 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 area's health: you'll watch metrics, error logs and user feedback because it's yours, not because someone assigned you a dashboard