Senior Software Engineer

Foundation Health is building an AI operating system for pharmacy to streamline care coordination and reduce administrative work in specialty pharmacy. The Senior Software Engineer will own features end-to-end, from product requirements and architecture through production deployment, while building reliable AI-powered healthcare integrations in a regulated environment.

Responsibilities:

• You'll own features end-to-end: from a loose product requirement, through the data model and API design, to production and into a customer's hands — sometimes within 48 hours
• Features built on LLMs that ship to real users in a regulated environment — which means evals, guardrails, and thinking hard about failure modes, not demo-ware
• Integration with the messy, fascinating reality of healthcare systems: Epic workflows, prior auth logic, pharmacy operations
• Full-feature architecture: data models, APIs, state, rollout — yours, end to end
• Your own feature area's health: you'll watch metrics, error logs and user feedback because it's yours, not because someone assigned you a dashboard

Requirements:

• You've shipped production systems you can talk about in depth — the choices, the tradeoffs, what you'd do differently
• You thrive when the path isn't fully paved. Loose requirements energize you rather than block you
• Genuine product instinct: you ask "why" when a requirement feels off, and you treat regressions personally
• AI tools are already embedded in how you work, not a thing you're meaning to try