Principal Software Engineer
Foundation HealthResponsibilities
- Own platform architecture and design systems capable of handling 10–100x growth without a rewrite.
- Establish reusable engineering patterns and identify root-cause technical problems before they become expensive.
- Define AI usage across products and engineering workflows, including model selection, latency and cost tradeoffs, evaluation methodology, and quality and safety standards.
- Shape the roadmap with product leadership, challenge assumptions, and drive cross-team initiatives focused on product outcomes.
- Mentor engineers and help develop the next generation of technical leaders in the Orlando hub.
- Contribute directly to the codebase and lead system design as a hands-on technical anchor.
Requirements
- Experience building complex systems from scratch while remaining hands-on in the codebase.
- Strong engineering judgment and ability to frame technical decisions in business terms.
- Demonstrated experience shipping AI-powered products and fluency with AI tooling.
- High agency and ability to identify and execute on important work without perfectly scoped tickets.
- Must be based in the United States or willing to relocate to Orlando.
Benefits
- US-based role or relocation to Orlando is expected.
- Significant equity is included.
- The role offers direct influence over architecture, engineering culture, and company direction.
- The position works on systems that affect real patient care and includes a seat at the table from day one.
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.