---
title: 'Software Engineer at Foundation Health'
canonical: 'https://feeny.ai/job/software-engineer-foundation-health-manchester-588yvaqb5krm'
type: 'job'
last_seen: '2026-11-02'
---

# Software Engineer at Foundation Health

- **Company:** Foundation Health
- **Location:** Manchester
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-10-21
- **Last confirmed live:** 2026-11-02
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/96988d7e-0032-436c-8abf-b2cba155d4e5

## 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 team: AI-native by design Our VP of Engineering comes from DeepMind/Google, and we're building with AI from day one, both in the product and in how we engineer. We use AI tools to move faster, automate repetitive work and spend more time on problems that need real engineering judgement.

## What you'll actually be doing

- Designing and building the back-end systems that connect pharmacies, health systems and insurers
- Solving hard distributed-systems problems: event-driven workflows, retries, idempotency, data consistency and failure recovery
- Owning substantial features from the initial problem through architecture, build, deployment and production
- Making pragmatic technical decisions as we scale, without overengineering for problems we don't have yet
- Building AI-powered capabilities into a live product, where reliability and correctness matter as much as speed
- Working directly with product and engineering leadership to shape the roadmap, architecture and what we build next

Manchester: where our core engineering team works Our core engineering team is based in Manchester city centre. We're in the office together 1–2 days a week to work through hard problems and debate technical decisions. The rest of the week, work wherever you're most effective.

Not in Manchester yet? If you'd consider relocating, we can help with the move.

## Why you'd leave your current role

- Your work reaches real users. We're live with enterprise customers, so what you ship gets used, not lost in a backlog.
- Interesting engineering problems. We're connecting fragmented healthcare systems, where data integrity and correctness really matter. This isn't a CRUD app with an AI feature bolted on.
- Real ownership. You'll shape solutions, challenge assumptions and influence the roadmap and architecture. We want you making important technical decisions, not just implementing someone else's.
- No legacy baggage. We're on a modern Node.js, TypeScript and GCP stack. You don't need to know it already. We care far more about the systems you've built than the tools you used.
- Equity. You'll own a stake in the company you're helping build.

## What we do care about

- Strong engineering judgement. You can take an ambiguous problem, work out what matters, make sensible trade-offs and deliver without every step mapped out.
- Back-end depth. You've built and operated production systems and know what happens beyond the happy path: distributed systems, databases, performance, observability and failure recovery.
- Ownership beyond the code. You think about how a feature behaves in production, how customers use it and what could go wrong. You've made technical decisions with real consequences and can explain why you made them.
- A builder's mindset. You've taken meaningful projects from idea to reality, at work or in your own time, and can explain the decisions and trade-offs you made.
- Curiosity about AI. You've built AI products, use AI to improve how you work, or are actively exploring what's possible. You don't need to be an ML researcher.
- Strong fundamentals. You reason from first principles and pick up unfamiliar tech quickly. A degree in Computer Science, Maths, Physics or Engineering is useful, but depth of engineering ability matters most.

Interested? The funding's in place, the product is live and customers are asking for more than we can build. We're hiring engineers in Manchester to help close that gap.

## 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

- [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-foundation-health-united-states-98qxspjyp5ng) — United States
- [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-foundation-health-orlando-b0tvwrxx59n5) — Orlando, FL
- [Principal Software Engineer](https://feeny.ai/job/principal-software-engineer-foundation-health-united-states-czta08s0gp6f) — United States
- [QA Engineer](https://feeny.ai/job/qa-engineer-foundation-health-manchester-z2h68kjp029c) — Manchester
- [QA Lead](https://feeny.ai/job/qa-lead-foundation-health-manchester-drtwmkcqtana) — Manchester
- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-foundation-health-orlando-ks47n6nrtqx0) — Orlando, FL
- [Software Engineer](https://feeny.ai/job/software-engineer-foundation-health-orlando-apyp9naw3vt9) — Orlando, FL
- [Pharmacy Operations Specialist (PharmD)](https://feeny.ai/job/pharmacy-operations-specialist-pharmd-foundation-health-united-states-yf1mwr2b621t) — United States
- [Product Manager](https://feeny.ai/job/product-manager-foundation-health-united-states-6reb5qkpd9gw) — United States
- [BizOps Manager](https://feeny.ai/job/bizops-manager-foundation-health-manchester-y9aga8484100) — Manchester