Jobs at Foundation Health

Own architecture and hands-on implementation across multiple product areas for a production AI pharmacy platform. Build scalable systems, agentic voice and SMS AI with safety guardrails, deep Epic and EHR integrations, prior authorization automation, and 340B compliance workflows. Lead model selection, context management, cost and latency optimization, and evaluation methodology while independently solving high-leverage technical problems and partnering directly with executive engineering leadership.

Own software features end to end, including product interpretation, data modeling, API design, architecture, rollout, production monitoring, and customer delivery. Build LLM-powered features for regulated healthcare environments with evaluations, guardrails, and failure-mode analysis. Integrate with Epic workflows, prior authorization logic, and pharmacy operations. Work autonomously with loose requirements, strong product judgment, and rapid delivery expectations.

Build and ship production software features and fixes independently with strong test coverage. Use AI development tools thoughtfully, learn pharmacy workflows and customer needs, identify bugs and UX issues, and improve rapidly through code reviews and pairing. The role works with a Node.js, TypeScript, and GCP stack in a remote-first environment supporting AI-powered healthcare and pharmacy operations.

Owns the architecture and hands-on development of a core healthcare product in production. Responsibilities include designing complex systems, building agentic AI workflows, integrating with Epic, developing prior authorization and patient communication infrastructure, establishing technical standards, coordinating cross-team delivery, and shipping reliable software in a regulated environment.

Build and ship AI-powered features for a digital pharmacy platform, integrating with EHR systems. Own features end-to-end on a Node/TypeScript stack deployed to GCP, leverage OpenAI/Langfuse/Vertex AI, and collaborate across a distributed team to deliver production-quality healthcare solutions.

Serve as a generalist business operations partner to the BizOps Director, COO, and senior leadership. Lead strategic projects from problem framing through implementation, while supporting procurement, vendor management, contracts, pricing, commercial partnerships, onboarding, and InfoSec compliance. Work cross-functionally with sales, engineering, customer experience, product, and design in a fast-growing, ambiguous AI and healthcare environment.

Build and ship AI-powered digital pharmacy features integrated with EHRs, owning end-to-end development from ambiguous requirements to production. Use OpenAI, Langfuse, and Vertex AI; run architectural spikes, mentor engineers, shape technical direction, and scale production systems while collaborating with leadership.

Own end-to-end product direction for AI-powered pharmacy experiences and workflow automation. Do 0-1 discovery, ship scrappy MVPs, scope safe AI/human-in-the-loop solutions, work tightly with engineering/design, and make data-driven business cases for staged rollouts.

Support health system pharmacy customers through implementation, configuration, training, go-live, adoption, and expansion of an AI-powered pharmacy platform. Serve as a pharmacy operations subject matter expert, translate workflows into platform configurations, manage customer relationships, conduct business reviews, identify adoption opportunities, and relay customer feedback to Product and Engineering. The role requires a PharmD and substantial experience in infusion, home infusion, or ambulatory health system pharmacy operations.

Own and build core, greenfield backend systems using Node/TypeScript on GCP. Design multi-component architectures, produce actionable design docs, implement AI/LLM features (RAG, function calling, agentic workflows), manage cross-team delivery, and mentor/hire engineers.

Build and ship end-to-end features on a modern stack (Node/TypeScript/GCP), integrate with EHR platforms, use AI tools in development, collaborate with senior engineers, and help scale an AI-powered digital pharmacy platform in production.

Build QA standards and frameworks for a greenfield AI-powered digital pharmacy. Design and run regression, UAT, API and front-end tests using Playwright and Postman. Test and validate AI-powered features, use AI tooling to improve QA, document results, and work closely with engineers to ensure enterprise-grade quality for production releases.

Build and ship production features end-to-end on a Node/TypeScript/GCP stack. Contribute to system design, author design docs, perform constructive code reviews, and integrate AI tools into product features. Take ownership for correctness and reliability while operating at Series A pace.

Lead platform architecture and engineering for a greenfield AI-powered pharmacy platform. Define AI strategy and model tradeoffs, ship scalable systems, drive roadmap decisions, mentor engineers, and balance technical execution with business outcomes.

The Implementation Manager drives customer implementations of an AI-powered digital pharmacy platform, ensuring timely and effective delivery while managing relationships and cross-functional collaboration to optimize outcomes.

Lead the quality assurance efforts in an AI-powered healthcare platform by executing testing strategies and ensuring product reliability while actively participating in testing alongside the team.

Lead and build the UK QA function for an AI-driven digital pharmacy: define strategy, tooling, standards; design testing and evaluation for LLM/agentic features; implement automation with Playwright and TypeScript; perform hands-on manual, regression and UAT testing; and embed quality practices across Engineering and Product.

Hands-on Staff Software Engineer owning core product architecture and delivery. Design multi-component systems, write code, produce usable design docs, build AI-powered features (RAG, function calling, evaluation), set tooling and patterns, manage cross-team dependencies, and mentor/hire engineers.

As Head of Finance, you will lead financial strategy, oversee accounting operations, build the finance function, and partner with the CEO on growth initiatives.