--- title: 'Software Engineer at Foundation Health' canonical: 'https://feeny.ai/job/software-engineer-foundation-health-orlando-0fbfnsn9zndf' type: 'job' last_seen: '2026-09-07' --- # Software Engineer at Foundation Health - **Company:** Foundation Health - **Location:** Orlando, FL - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-06-24 - **Last confirmed live:** 2026-09-07 - **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/45d8aed7-7b19-4da5-8a14-05ca52e06030/application **Skills:** Node, TypeScript, GCP, AI tools > Join Foundation Health as a founding engineer to build AI-powered digital pharmacy infrastructure. You will own features end-to-end using Node, TypeScript, and GCP, working in a modern, AI-native environment with significant influence on product and architecture. ## 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. Fixing Healthcare, One System at a Time Healthcare runs on workflows built in the 90s. We're changing that — specifically in pharmacy, where we're building AI-powered infrastructure that plugs directly into EHR platforms, helping health systems actually function at scale. Not a chatbot. Not a wrapper. Real, deep infrastructure that changes how care gets delivered. We're a Series A company already in production with enterprise customers already - so, the PMF question is answered. Now we're building the team that scales it. ## The Role This is a mid-level role for someone who's past the hand-holding stage but still has plenty of runway to grow. You'll own features end-to-end, work on a modern stack (Node/TypeScript/GCP), and be surrounded by senior engineers worth learning from. You don't need to have worked in our exact stack. If you're a strong engineer who loves building things and picks up new tools quickly, that matters more to us than ticking a language checkbox. We're AI-native — Cursor, Claude — and we expect you to use these tools as a natural part of how you work, not as a novelty. ## What we're looking for - A couple of years of professional experience building and shipping software in a production environment - Solid fundamentals — you understand what you're building and why it works - Someone who asks good questions, takes feedback well, and gets things done without needing constant direction - Already experimenting with AI tools in your workflow - Strong educational background in CS or similar ## Why now, why us You'd be joining as one of the founding engineers in a new hub. That means real influence — on the product, the architecture, and the culture we build here. Meaningful equity, a seat at the table, and work that actually touches people's lives through the healthcare system. ## 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 - [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 - [Pharmacy Operations Specialist (PharmD)](https://feeny.ai/job/pharmacy-operations-specialist-pharmd-foundation-health-united-states-yf1mwr2b621t) — United States - [Principal Software Engineer](https://feeny.ai/job/principal-software-engineer-foundation-health-orlando-5t23nwvgf9y1) — Orlando, FL - [QA Lead](https://feeny.ai/job/qa-lead-foundation-health-united-kingdom-6kv3x4kpgvej) — United Kingdom - [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-foundation-health-united-kingdom-cy1g7z2gahkd) — United Kingdom - [Product Manager](https://feeny.ai/job/product-manager-foundation-health-united-states-rmyzekh1fhhv) — United States