Senior 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 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.

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.

• True Feature Ownership: You won’t just be handed well-scoped tickets. You will own full features end-to-end, driving them from initial ambiguity and architectural design all the way to production.

• Influence the Technical Direction: As an early senior hire, you will have a direct seat at the table. You will collaborate closely with our VP of Engineering to shape our technical stack, establish engineering standards, and influence the product roadmap.

• Pure Product Engineering: We are looking for people who thrive when the path isn't fully paved. If you love the feeling of architecting a feature, shipping it, 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 as a senior pillar of the team, you’ll take a meaningful stake in what we are building.

What we do care about

• You’re an Owner and Builder: You have a proven track record of shipping production-grade applications from scratch. You can talk deeply about system design choices, trade-offs, and how you've successfully scaled features you owned.

• You Thrive in Ambiguity: You don't wait for a perfect specification. You excel at taking loose product requirements, breaking them down into technical execution plans, and driving the implementation forward.

• Technical Leadership: You are ready to begin influencing technical direction, running architectural spikes, and raising the engineering bar for the team through code reviews and mentoring.

• AI-Native Mindset: You’ve either worked on AI products before or you deeply embed AI tools into your daily workflow to maximize your output. We want people who actively champion efficiency.

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

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