| Location | Orlando, FL |
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.
Were 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. Were looking for curious, ambitious folks who want to help solve healthcares 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. Were changing that - specifically in pharmacy, where were building AI-powered infrastructure that plugs directly into Electronic Health Record platforms, helping health systems actually function at scale. Not a chatbot. Not a wrapper. Real, deep infrastructure that changes how care gets delivered.
Were a Series A company already in production with enterprise customers already - so, the PMF question is answered. Now were building the team that scales it.
The Role
Were building out our engineering hub in Orlando, and we want a Staff Engineer whos genuinely excited about owning something - not just contributing to it. Youll be a technical anchor for one of our core products, making architectural calls that matter six months from now, not just this sprint.
This is a hands-on role. Youll write code, not just review it.
What youll be doing
Youll set the technical bar - through your own code as much as your decisions. Youll design systems that span multiple components, produce design docs the broader team actually uses, and spot the debt hotspots before they become fires.
On the AI side: were native by design. Cursor, Claude, the lot. Youll design agentic workflows (automated reviews, LLM-assisted QA) and contribute directly to AI-powered features - RAG, function calling, evaluation frameworks. Youll also help pick the tooling and set the patterns others follow.
Beyond the code, youll own delivery across workstreams, manage cross-team dependencies, and translate between what engineering can do and what the business needs. Youll grow the people around you through coaching and hiring, not through process overhead.
What were looking for
A track record of building complex systems from scratch - and being able to talk about the specific decisions you made and why
High agency. You dont wait for a perfectly scoped ticket. You figure out what needs to happen and do it.
Comfortable in ambiguity. Were a Series A - things move fast and change often
Already using AI tools daily, and interested in pushing that further
Strong educational foundation in CS or a related field
The stack: Node/TypeScript/GCP. No legacy code. Greenfield all the way.
Why now, why us
Youd 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 peoples lives through the healthcare system.