
Software Engineer
Foundation Health21 days ago
Manchester, United KingdomSenior
Responsibilities
- Design and build backend systems connecting pharmacies, health systems, and insurers.
- Solve distributed-systems problems involving event-driven workflows, retries, idempotency, data consistency, and failure recovery.
- Own substantial features from initial problem definition through architecture, implementation, deployment, and production.
- Make pragmatic technical decisions as the company scales without unnecessary overengineering.
- Build reliable AI-powered capabilities into a live product.
- Collaborate with product and engineering leadership on the roadmap, architecture, and future product direction.
Requirements
- Demonstrated backend depth and experience building and operating production systems.
- Understanding of distributed systems, databases, performance, observability, and failure recovery.
- Strong engineering judgment, including the ability to make trade-offs under ambiguity.
- Experience owning meaningful projects from idea to production and explaining technical decisions.
- Ability to consider production behavior, customer usage, and failure modes beyond the code itself.
- Curiosity about AI through building AI products, using AI to improve work, or actively exploring AI capabilities.
- Strong software engineering fundamentals and ability to learn unfamiliar technologies quickly.
- A degree in Computer Science, Maths, Physics, or Engineering is useful but not required.
Benefits
- Equity and ownership stake in the company.
- Manchester city-centre office with in-person collaboration 1–2 days per week and flexibility to work elsewhere during the rest of the week.
- Relocation assistance may be available for candidates considering moving to Manchester.
- Opportunity to work on a live product used by enterprise customers and solve healthcare data-integrity challenges.
Tech Stack
Categories
About Foundation Health
Foundation Health builds an AI operating system for pharmacy that embeds into EHR workflows (Epic and Cerner) to automate prior authorizations, refill reviews, specialty intake, patient communications, 340B compliance, and infusion workflows. It sells its platform to health system and specialty pharmacies as enterprise software to reduce administrative work and speed patient access. Founded in 2024 and headquartered in San Francisco, the company is privately held.