---
title: 'QA Lead at Foundation Health'
canonical: 'https://feeny.ai/job/qa-lead-foundation-health-united-kingdom-6kv3x4kpgvej'
type: 'job'
last_seen: '2026-09-14'
---

# QA Lead at Foundation Health

- **Company:** Foundation Health
- **Location:** United Kingdom
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-04
- **Last confirmed live:** 2026-09-14
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/f7fa114b-6ea7-4064-8da0-2111b7947837

## 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 be leading the charge on how we test AI-led products across the UK — agentic workflows, LLM-based features, non-deterministic behaviour that doesn't fit a traditional pass/fail script.

What you'll actually do:

- Build out our QA function properly: strategy, process, tooling and standards, working alongside our US QA Lead as we grow this on both sides of the Atlantic
- Design and own testing for AI-driven features: agentic workflows, LLM outputs, evaluation frameworks, and the genuinely hard question of what "correct" even means when a system doesn't behave the same way twice
- Get hands-on with automation using Playwright and TypeScript — and just as hands-on with manual testing, regression and UAT when that's what a release actually needs. This isn't a role where you delegate the manual work away
- Set the bar for how quality gets handled company-wide as we scale — not just catching bugs, but building the culture that prevents them
- Work closely with Engineering and Product to make sure quality is part of how things get built, not a gate bolted on at the end

Who thrives here?

- Builders, not inheritors. You've either grown a QA function from something small before, or you've been desperate for the chance to. Coming into an established, fully-formed process isn't what excites you — shaping something still taking form is.
- Genuinely fluent in AI, not just aware of it. AI is already part of your day-to-day — you use it properly, and you're curious about pushing it further. And on the testing side, you've either tested AI-led products already or you understand exactly why testing them is a different problem to testing normal software.
- True hybrids, with zero ego about it. You're as comfortable writing a Playwright suite in TypeScript as you are doing hands-on manual testing, regression and UAT. Nobody here delegates the "unglamorous" work away — including you.
- Strong technical fundamentals underneath the modern tooling. Test strategy, defect management, release process — the fundamentals are solid, even if the problems you're applying them to are new.
- People who lead by doing. This role grows into shaping and leading QA in the UK as we scale. But there's no hands-off management track here — whoever's in this role is still testing, still in the detail, still building alongside the team, at every stage of growth.

## 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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