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. Fixing Healthcare, One System at a Time Healthcare runs on workflows built in the 90s. We're changing that — specifically in pharmacy, where we're building AI-powered infrastructure that plugs directly into EHR platforms, helping health systems actually function at scale. Not a chatbot. Not a wrapper. Real, deep infrastructure that changes how care gets delivered. We're a Series A company already in production with enterprise customers already - so, the PMF question is answered. Now we're building the team that scales it. The Role Senior Engineer at Foundation Health means hands-on, high-ownership work. You'll contribute to system design, take on complex features end-to-end, and care about the quality of what ships — not just whether your ticket is closed. You'll work closely with Staff engineers and directly shape how we build. This isn't a "execute the spec" role. What you'll be doing Writing clean, well-considered code on a modern Node/TypeScript/GCP stack — no legacy baggage. Picking up hard problems, producing solid design docs, and reviewing your peers' work in a way that actually helps them improve. We're not precious about your current stack. A strong engineer can pick up a new language almost immediately — we care far more about how you think and what you've built. You'll use AI tools as a natural part of how you work — Cursor, Claude — and contribute to features that incorporate AI directly. We're native by design, not bolting it on. You'll flag issues early, push back when something doesn't make sense, and take real ownership over the surface area you work on — correctness, reliability, the lot. What we're looking for - Solid experience building production systems — you can point to things you've shipped and talk through the decisions - High agency — you don't need perfect information to move forward - Comfortable with some ambiguity; Series A pace is real - Already using AI tools in your day-to-day - Strong CS fundamentals Why now, why us You'd be joining as one of the founding engineers in a new hub. That means real influence — on the product, the architecture, and the culture we build here. Meaningful equity, a seat at the table, and work that actually touches people's lives through the healthcare system.