---
title: 'QA Lead at Foundation Health'
canonical: 'https://feeny.ai/job/qa-lead-foundation-health-manchester-drtwmkcqtana'
type: 'job'
last_seen: '2026-11-02'
---

# QA Lead at Foundation Health

- **Company:** Foundation Health
- **Location:** Manchester
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-10-07
- **Last confirmed live:** 2026-11-02
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/1277bed9-b692-4afd-9244-11e5ec9dfed0

## 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 Role

You'd be joining alongside our QA Lead in the US, with real ownership of building this out properly in the UK: strategy, tooling, standards, process - all still very much taking shape. There's no hands-off management here - everybody, at every level, is hands-on, and that includes you.

And because we're AI-native by design, testing here isn't testing conventional software. You'll own how we test AI-led products in the UK - agentic workflows, LLM-based features, non-deterministic behaviour that doesn't fit a traditional pass/fail script.

We've built an AI operating system for pharmacies, tackling the operational infrastructure behind things like paperwork and care coordination. It's in production with enterprise health systems across the US, and we're working directly with one of the biggest names in pharmacy.

## What you'll actually do

- Build out the QA function (strategy, process, tooling, standards), working with our US QA Lead so both sides run as one team
- Own how we test AI-led features: agentic workflows, LLM outputs and evaluation frameworks. You'll work out how to sign something off when it doesn't behave the same way twice
- Write automation in Playwright and TypeScript, and do manual testing, regression and UAT yourself when a release needs it
- Work with Engineering and Product so quality is part of how things get built, not a gate at the end
- Help hire and grow the QA team as we scale

## Who you are

- You build things. You've grown a QA function from something small, or you've been itching to. A fully formed process to inherit isn't what gets you out of bed.
- You actually use AI. It's part of your day-to-day already. You've tested AI-led products, or you can explain clearly why it's a different problem from testing normal software.
- You do every part of the job. You're as happy writing a Playwright suite as running a UAT session. You don't think of any of it as beneath you.
- Your fundamentals are solid. Test strategy, defect management and release process are second nature, even when the thing you're testing is new.
- You lead by doing. You'll grow into leading QA in the UK, but you'll still be hands-on the whole way.

The setup Hybrid, Manchester city centre, 1–2 days a week in the office. When you're working out what "correct" even means for an AI system, a whiteboard and the right three people in a room beat a Slack thread every time.

Not local? We offer relocation support for the right person. However, you must currently be UK-based.

We're Series A, there's early equity, and the work genuinely changes how people get their medication.

## 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)

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