Staff Software Engineer
Foundation HealthResponsibilities
- Own the technical direction and architecture of a core Foundation Health product.
- Design and build multi-component systems spanning Epic integration, prior authorization pipelines, and patient communication infrastructure.
- Develop production agentic systems and AI features, including RAG, function calling, and evaluation workflows.
- Write production code and establish a high technical bar through implementation and architectural decisions.
- Coordinate cross-team dependencies, connect roadmaps to product milestones, and remain accountable for shipping useful software.
Requirements
- Demonstrated experience building complex systems from scratch and explaining the technical decisions behind them.
- Strong ownership and high agency, including the ability to identify and execute work without perfectly scoped tickets.
- Comfort working in ambiguity and in a fast-changing Series A startup environment.
- Daily use of AI development tools and enthusiasm for expanding their application.
- Ability to learn new programming languages quickly.
Benefits
- Remote-first work across the United States.
- Optional access to the company’s engineering hub in Orlando.
- Founding-role equity.
- Greenfield development with no legacy code.
Tech Stack
Categories
About Foundation Health
Foundation Health is the AI operating system for pharmacy. We help health system pharmacies do more with less by embedding AI directly into existing clinical workflows and EHRs, including Epic and Cerner, without disrupting how teams work today. Our platform automates and augments core pharmacy operations across: - Prior Authorizations – reduce manual work and accelerate approvals - Refill Authorizations – increase throughput with AI-assisted clinical review - MSOT & Intake Workflows – capture and route specialty prescriptions with precision - Patient Communications – automate outreach across SMS and voice - 340B Compliance & Revenue Recapture – identify ineligible claims, ensure compliance, and recover missed revenue - Infusion Workflow Management – automate end-to-end medical infusion workflows, from eligibility and prior authorization to site of care and scheduling, to accelerate time to treatment The result: less administrative burden, faster patient access, higher capture rates, and scalable growth—without adding headcount. Built on HIPAA-compliant, SOC 2-certified infrastructure. Reach out to discover how our AI operating system transforms pharmacy workflows.