Senior Software Engineer
About The Position
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
Requirements
- Shipped production systems you can talk about in depth — the choices, the tradeoffs, what you'd do differently.
- Thrive when the path isn't 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 you're meaning to try.
- Experience with Node/TypeScript/GCP is a plus, but we hire engineers, not stacks.
Responsibilities
- 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.
- Build features on LLMs that ship to real users in a regulated environment, including evals, guardrails, and thinking hard about failure modes.
- Integrate with healthcare systems, including Epic workflows, prior auth logic, and pharmacy operations.
- Develop full-feature architecture, including data models, APIs, and state management.
- Monitor and maintain your own feature area's health by watching metrics, error logs, and user feedback.
Benefits
- Equity is founding-role equity, not a rounding error.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
