Principal Engineer

Foundation Health is transforming healthcare through an AI-powered digital pharmacy platform that seamlessly connects operational infrastructure with high quality patient experiences. As a Principal Software Engineer, you will shape the multi-quarter engineering strategy and technical standards to enhance both provider efficiency and patient care.

Responsibilities:

• Own the architecture across multiple product areas or the entire platform, designing systems capable of supporting 10-100x growth without major rewrites
• Establish architectural patterns and technical standards adopted org-wide
• Identify and resolve root-cause quality failures or misalignments between system architecture and business direction
• Drive build-vs-buy analyses and advise leadership on technical risks regarding product and Go-To-Market (GTM) strategy
• Define the AI tooling strategy for the engineering organization
• Oversee the architecture of AI-powered product capabilities, including voice agents and AI-assisted clinical workflows
• Manage model selection, context window management, latency/cost tradeoffs, and evaluation methodologies
• Take responsibility for AI quality and safety standards within the product
• Drive cross-team initiatives where success is measured by product outcomes (feature adoption, error rates) rather than just ticket throughput
• Partner with product leadership to define the roadmap based on what is feasible, high-leverage, and risky
• Accountable for product health metrics and 'definitions of done' that include actual product outcomes
• Grow Senior and Tech Lead-level engineers and develop the next generation of technical leaders
• Partner with Engineering Managers on performance, leveling decisions, and technical recruitment strategy
• Influence org-wide decisions through writing and advocacy, building consensus across teams with competing priorities