---
title: 'QA Engineer at Foundation Health'
canonical: 'https://feeny.ai/job/qa-engineer-foundation-health-united-states-b8t1eacyvkss'
type: 'job'
last_seen: '2026-09-14'
---

# QA Engineer at Foundation Health

- **Company:** Foundation Health
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-09-10
- **Last confirmed live:** 2026-09-14
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/97476b6f-fa04-4d0d-b579-c1a84a1f575c

## Job description

## 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.

The bug you don't catch reaches a patient

Most QA jobs, the worst case is an angry customer and a hotfix on Friday night. Here it's a prescription that doesn't reach someone who needs it.

Foundation Health is building AI-native pharmacy infrastructure — the layer that sits between prescribers, health systems and pharmacies and makes the whole thing actually work. It plugs directly into EHRs. It's live with enterprise customers today. We're Series A and scaling the team that runs it.

That stakes-are-real thing is either the reason you'd take this job or the reason you wouldn't. Worth knowing which one you are early.

## The Role

You're the person who decides whether something is safe to put in front of a Pharmacist.

Two things have to be true about you.

The fundamentals are genuinely solid. Regression testing, UAT you can own end to end with external healthcare clients, documentation someone else can actually pick up, and the instinct to know when a script won't catch it and you need to sit down and click through the thing yourself. Manual testing isn't the junior half of this job. Some of the worst bugs we've caught were found by someone being suspicious, not by a green pipeline.

And you're pushing into the new stuff. Testing AI features where the same input doesn't give you the same output twice. Using AI tooling to multiply your own output rather than as a party trick. Playwright MCP and agentic workflows — early enough that you're working it out rather than reading about it.

What "builder" actually means here We're not handing you a framework to maintain.

You'll be writing tooling that doesn't exist yet: test data generators for clinical scenarios, harnesses for evaluating non-deterministic LLM output, MCP servers wired into our own stack, internal agents that handle the parts of the job you'd rather not do twice.

The best QA engineers we've met write code other people end up depending on. If your instinct when something's tedious is to build the thing that kills it, this fits. If you'd rather be handed a test plan, it won't.

The stack Node.js, TypeScript, SvelteKit, GCP. Serverless, modern, no decade-old test suite anyone's frightened of.

Playwright for front-end automation, Postman for the API and integration layer, Playwright MCP and agents for the new territory — on real production features, not a sandbox.

Who you'd work with You'll report into our VP of Engineering, ex-DeepMind/Google, who is closer to the code than most VPs you'll have worked for. You'll sit alongside our QA Lead, working daily with the engineers shipping the features — not through a ticket queue.

Small team, so your fingerprints are visible. That cuts both ways and you should want that.

## What we're looking for

- 3+ years in QA or software testing, with real depth on web apps and APIs
- Strong Playwright skills and good judgement about when to automate versus when to test by hand
- Solid manual and UAT experience, including running UAT with external clients or providers
- Enterprise product experience — you know what's at stake when something breaks
- Already using AI tools day-to-day, or direct experience testing AI-powered products
- Strong technical foundation: a CS or numerate degree from a good school, or a promotion track that speaks for itself
- Healthcare, health-tech or pharmacy experience is a real plus. HIPAA, PHI handling, clinical data accuracy — if you know that world, lead with it

The setup Remote-first across the US. However, we do prefer East Coast, and it's a practical reason rather than a preference we've invented: a big part of engineering sits in the UK, so you’d need a real working overlap with them. Further west and you're picking up their work the next morning instead of the same afternoon.

Orlando is our US hub. If you're there or open to relocating, great — we'll help make it work. If you're not, that's genuinely fine.

We do get everyone together properly, and we'd want you at those.

## About Foundation Health

## Company Overview
- **One-liner**: Foundation Health provides an AI-powered operating system for pharmacy and digital healthcare, automating workflows for prior authorization, refills, and patient communication.
- **Entity Type**: Private (Series A)
- **Headquarters**: Menlo Park, California, United States
- **Founded**: 2023
- **Founders**: Umar Afridi (CEO & Founder)

## Core Business
- **Primary industry**: Healthcare technology / Digital pharmacy / Prior authorization automation
- **Target customers**: Health systems, health plans/insurers, pharmaceutical manufacturers, consumer health companies (B2B, enterprise)
- **Mission / purpose**: “Delivering the future of digital healthcare” – modernizing healthcare by reducing administrative friction so clinicians can focus on patient care.

## Products & Services
- **PAIGE (AI Operating System for Pharmacy)**: An AI assistant that automates repetitive pharmacy tasks such as prior authorization, refill authorization, 340B compliance audits, and patient communication. Includes workflow orchestration, task tracking, and exception management.
- **Digital Front Door**: White-labeled patient-facing interface for managing specialty and retail prescriptions, auto-refills, prescription transfers, copay payments, and delivery tracking.
- **Prior Authorization Automation**: End-to-end automation including benefits investigation, eligibility checks, test claims, generation of draft responses to payer questions, and auto-generated appeal letters for denials.
- **Refill Authorization**: Accelerates refill workflows under Collaborative Practice Agreements with AI pre-screening and pharmacist oversight.
- **340B Optimization**: Automates compliance audits by integrating TPA and EHR data to maximize eligible capture and recapture revenue.
- **Financial Assistance**: Identifies eligible patients for manufacturer copay coupons, quick start programs, and patient assistance foundations, then automates enrollment workflows.
- **MSOT Queue Automation**: Integrates with EPIC MSOT queue to automate manual workflows and expedite specialty prescription routing.
- **Patient Communication (SMS & VoiceAI)**: Automated outreach for patient assessments, adherence, and delivery coordination, with responses routed back into pharmacy workflows.
- **Pharmacy API**: Developer-first API for integrating telehealth, pharmacy, and diagnostics, handling compliance, logistics, and provider networks.

## Market Standing
- **Valuation**: Not publicly available (last funding round was Series A)
- **Key Metric**: Total raised $26M (Series A of $20M raised approximately 8 months ago as of mid-2025)
- **Notable Investors/Partners**: Not publicly disclosed; the company emphasizes its team’s experience (built the first Pharmacy API and operated nationwide pharmacies, physician clinics, and diagnostic centers across the US and Europe)
- **Growth Signals**: Founded in 2023, raised $26M in Series A; serving over 100 brands, shipping 20M+ prescriptions, serving 2M+ patients; mentions partnerships with leading health systems (e.g., Intermountain Health)

## Competitive Advantages
- **AI‑first platform purpose‑built for pharmacy workflows** – reduces prior authorization time by 50%, increases refill authorization throughput 2× per FTE.
- **Compliance built‑in** – HIPAA compliant and SOC 2 Type 2 certified, reducing risk for enterprise customers.
- **Full‑stack healthcare experience** – team has built and operated digital pharmacies, telehealth, and diagnostic services for Fortune 500 companies, plus physical pharmacies and clinics in the US and Europe.
- **Developer‑friendly API** – first‑in‑kind Pharmacy API that allows partners to ship compliant healthcare experiences quickly.
- **White‑label digital front door** – preserves health system brand while centralizing prescription management for patients.

## Strategic Focus
- Expand the AI operating system to cover additional pharmacy and payer workflows (denials, appeals, adherence).
- Deepen integrations with major EHRs (EPIC) and pharmacy management systems.
- Grow partnerships with health systems, health plans, and pharmaceutical manufacturers to drive adoption of the platform.
- Continue scaling the Developer API to enable third‑party innovation in digital pharmacy.

## Why Work Here
- **Remote‑first culture** – “Work from anywhere and thrive in a flexible, digital‑first environment.”
- **Generous PTO** and flexible working hours.
- **Comprehensive health, dental, and vision** coverage.
- **Employee stock option program** – invest in growth and share in the company’s success.
- **Meaningful impact** – directly reduce administrative burden for pharmacists and improve patient access to therapy.
- **Engineering culture** – the team built the first Pharmacy API; developers work on a compliance‑focused, API‑driven platform serving millions of patients.

## Sources
1. [foundationhealth.com](https://www.foundationhealth.com/)
2. [foundationhealth.com/about](https://www.foundationhealth.com/about)
3. [foundationhealth.com/careers](https://www.foundationhealth.com/careers)
4. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/foundationhealthcareers)
5. [cbinsights.com](https://www.cbinsights.com/company/foundation-health)

## Other roles at Foundation Health

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- [Software Engineer](https://feeny.ai/job/software-engineer-foundation-health-orlando-1d38wq05td3s) — Orlando, FL
- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-foundation-health-orlando-1z1ev2jh82n7) — Orlando, FL
- [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-foundation-health-orlando-bc1x0k6m7zcm) — Orlando, FL
- [Principal Software Engineer](https://feeny.ai/job/principal-software-engineer-foundation-health-orlando-j4ah42hjhjhf) — Orlando, FL
- [BizOps Manager](https://feeny.ai/job/bizops-manager-foundation-health-manchester-y9aga8484100) — Manchester, United Kingdom
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