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.

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.

The Mission: Fixing Healthcare with Code

Healthcare is full of complex, frustrating workflows that haven’t changed in decades. We believe that thoughtfully applied AI can finally simplify these systems, improving both the provider's workday and the patient's experience.

Specifically, we are revolutionizing the pharmacy space. We’re building AI-powered systems that integrate directly with Electronic Health Record (EHR) platforms, helping health systems operate effectively at scale. This isn't a "chatbot on a landing page" - it’s deep, integrated infrastructure that changes how care is delivered.

The Team: AI-Native by Design

We’re led by a technical leadership team with deep roots in high-scale engineering, including our new VP of Engineering (ex-DeepMind/Google). Together, we’re fostering an "AI-native" culture where we don’t just build AI; we use it.

We want engineers who lean on AI tools to maximize their output and automate the mundane parts of their day-to-day work. We’re creating an environment where using the latest tools isn't just allowed - it’s encouraged and championed by leadership.

Location & Culture:

We have an office in Manchester City Centre, and while we aren't a "mandatory X days in the office" company, we believe in the power of getting together. We’re looking for engineers who are excited to head into Manchester when needed to whiteboard, jam on ideas, and build rapport in person.

That said, we are a distributed team. If you’re a high-performer that's not local, you aren't an afterthought - you’re a first-class citizen in this mission.

Why you’d leave your current role:

• The AI Playground: You’ll get hands-on with OpenAI, Langfuse, and Vertex AI to ship real-world features. We aren't just "researching" AI; we are shipping it into production environments where it actually impacts patient care.

• High Agency, High Ownership: You will have the autonomy to own features from ideation to production. You’ll have a direct seat at the table to influence the product roadmap and the technical direction of the company.

• No Legacy Debt: You won’t be spending 40% of your week fixing 10-year-old bugs. You’ll be writing new code on a modern Node/TS/GCP stack.

• Pure Product Engineering: We are looking for people who thrive when the path isn't fully paved. If you love the feeling of shipping a feature and seeing it in a customer's hands 48 hours later, you’ll fit in.

• Significant Equity: Because you’re joining in this early window, you’ll take a meaningful stake in what we are building.

What we do care about:

• You’re a Builder: You can show us things you’ve built from scratch and talk about your specific contributions toward those products.

• You’re a Problem Solver: You don't just wait for a Jira ticket to be perfect; you figure out what needs to happen to move the needle and you do it.

• AI-Native Mindset: You’ve either worked on AI products before or you use AI tools to help maximize your own workload. We want people who actually thrive in this kind of environment.

We’ve cleared the path. The funding is there, the clients are waiting, and the technical leadership is world-class. We just need the builders.

Ready to build the future of healthcare? Let's talk.