--- title: 'Senior Software Engineer at Foundation Health' canonical: 'https://feeny.ai/job/senior-software-engineer-foundation-health-manchester-9t09j8hd79xk' type: 'job' last_seen: '2026-09-14' --- # Senior Software Engineer at Foundation Health - **Company:** Foundation Health - **Location:** Manchester, United Kingdom - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-06-05 - **Last confirmed live:** 2026-09-14 - **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/b8c67296-5416-42a7-a273-7cadcce4ed28/application **Skills:** System Design, Production-grade application development, AI tool integration, EHR platform integration, OpenAI, Langfuse, Vertex AI > Join Foundation Health as a Senior Software Engineer to build AI-powered digital pharmacy infrastructure. You will own features end-to-end, shape technical direction, and integrate AI tools into production systems to improve healthcare workflows. ## 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 Mission: Fixing Healthcare with Code Healthcare is full of complex, frustrating workflows that haven’t changed in decades. We believe that thoughtfully applied AI can finally simplify these systems, improving both the provider's workday and the patient's experience. Specifically, we are revolutionizing the pharmacy space. We’re building AI-powered systems that integrate directly with Electronic Health Record (EHR) platforms, helping health systems operate effectively at scale. This isn't a "chatbot on a landing page" - it’s deep, integrated infrastructure that changes how care is delivered. The Team: AI-Native by Design We’re led by a technical leadership team with deep roots in high-scale engineering, including our VP of Engineering (ex-DeepMind/Google). Together, we’re fostering an "AI-native" culture where we don’t just build AI; we use it. We want engineers who lean on AI tools to maximize their output and automate the mundane parts of their day-to-day work. We’re creating an environment where using the latest tools isn't just allowed - it’s encouraged and championed by leadership. Location & Culture We have an office in Manchester City Centre, and while we aren't a "mandatory X days in the office" company, we believe in the power of getting together. We’re looking for engineers who are excited to head into Manchester when needed to whiteboard, jam on ideas, and build rapport in person. ## Why you’d leave your current role - The AI Playground: You’ll get hands-on with OpenAI, Langfuse, and Vertex AI to ship real-world features. We aren't just "researching" AI; we are shipping it into production environments where it actually impacts patient care. - True Feature Ownership: You won’t just be handed well-scoped tickets. You will own full features end-to-end, driving them from initial ambiguity and architectural design all the way to production. - Influence the Technical Direction: As an early senior hire, you will have a direct seat at the table. You will collaborate closely with our VP of Engineering to shape our technical stack, establish engineering standards, and influence the product roadmap. - Pure Product Engineering: We are looking for people who thrive when the path isn't fully paved. If you love the feeling of architecting a feature, shipping it, and seeing it in a customer's hands 48 hours later, you’ll fit in. - Significant Equity: Because you’re joining in this early window as a senior pillar of the team, you’ll take a meaningful stake in what we are building. ## What we do care about - You’re an Owner and Builder: You have a proven track record of shipping production-grade applications from scratch. You can talk deeply about system design choices, trade-offs, and how you've successfully scaled features you owned. - You Thrive in Ambiguity: You don't wait for a perfect specification. You excel at taking loose product requirements, breaking them down into technical execution plans, and driving the implementation forward. - Technical Leadership: You are ready to begin influencing technical direction, running architectural spikes, and raising the engineering bar for the team through code reviews and mentoring. - AI-Native Mindset: You’ve either worked on AI products before or you deeply embed AI tools into your daily workflow to maximize your output. We want people who actively champion efficiency. We’ve cleared the path. The funding is there, the clients are waiting, and the technical leadership is world-class. We just need the senior builders to help lead the charge. Ready to build the future of healthcare? Let's talk. ## 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 - [QA Engineer](https://feeny.ai/job/qa-engineer-foundation-health-united-states-b8t1eacyvkss) — United States - [Product Manager](https://feeny.ai/job/product-manager-foundation-health-united-states-6reb5qkpd9gw) — United States - [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 - [Pharmacy Operations Specialist (PharmD)](https://feeny.ai/job/pharmacy-operations-specialist-pharmd-foundation-health-united-states-yf1mwr2b621t) — United States - [QA Lead](https://feeny.ai/job/qa-lead-foundation-health-united-kingdom-6kv3x4kpgvej) — United Kingdom - [QA Engineer](https://feeny.ai/job/qa-engineer-foundation-health-manchester-snyaj7946mjr) — Manchester, United Kingdom