Staff Software Engineer

Foundation Health is building an AI operating system for pharmacy to streamline care coordination and reduce administrative work in specialty pharmacy. The Staff Software Engineer will serve as the technical anchor for a core product, making architectural decisions, writing production code, and owning delivery across complex healthcare and AI systems.

Responsibilities:

• You'll be the 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. You'll write code, not just review it
• Production agentic systems in a regulated environment — automated workflows, LLM-assisted QA, and AI features (RAG, function calling, evals) where the output touches real patient care, so the evaluation bar is genuinely high
• Multi-component system design across a product domain: Epic integration, prior auth pipelines, patient communication infrastructure
• The technical bar itself — through your own code as much as your decisions. Your PRs should be the ones people learn from
• Delivery across a workstream: cross-team dependencies, roadmaps tied to product milestones, and accountability for shipping software that solves the user's problem, not just software that passes tests

Requirements:

• 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 don't wait for a perfectly scoped ticket. You figure out what needs to happen and do it
• Comfortable in ambiguity. We're Series A — things move fast and change often
• Already using AI tools daily (we're Claude/Cursor-native across the team) and hungry to push that further