---
title: 'Software Engineer at Foundation Health'
canonical: 'https://feeny.ai/job/software-engineer-foundation-health-orlando-1d38wq05td3s'
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:** 2026-08-25
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/e5a46260-f26d-4c62-a641-defcc04db137

## 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

This isn't a pitch deck. Our platform is live in production inside major US health systems — including Intermountain Health — where our AI handles real patient communication over voice and SMS and plugs directly into Epic workflows. We have a public partnership with Amazon Pharmacy. We raised a $20M Series A led by Define Ventures. Our CEO is a 2x founder; our VP of Engineering came from DeepMind. We're ~70 people, past PMF, with enterprise customers pulling us forward faster than we can hire.

Here's the early-career fork in the road: at a big company, you'll spend year one on internal tooling, ship through six layers of review, and learn how a large org works. Here, you'll ship to production in your first week, on systems pharmacists and patients actually depend on, sitting (virtually or in Orlando) next to engineers who've built at serious scale. Same years of your career. Very different compounding.

## What you'll actually do

- Ship well-scoped features and fixes independently, with proper test coverage, at a pace you'll be proud of
- Work AI-native from day one — Claude, Cursor, the lot — as a first-class part of how you build, with the judgment to know when the output needs a second look
- Learn the domain deeply: who the pharmacist is, what workflow they're stuck in, why your ticket exists — and ask "why" when a requirement feels off
- File the bugs and UX issues you notice without waiting to be told
- Level up fast through code review and pairing with engineers who've built serious systems — the feedback loop here is customers, not committees

## What we're looking for

- Sharp CS fundamentals and evidence you love building: side projects, internships, open source, a startup that didn't work — something you made because you couldn't not
- Learning velocity. You pick things up fast and you enjoy the discomfort of not knowing yet
- High agency and curiosity about the product, not just the code
- Already building with AI tools, and thoughtful about their limits

Stack is Node/TypeScript/GCP. If you've not used it, that's fine — that's the point of learning velocity.

The practical stuff

We're remote-first across the US, though we've just opened a hub in Orlando if you ever wanted your comp to survive contact with your cost of living. And it's early enough that the equity is founding-role equity, not a rounding error.

## 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

- [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
- [QA Engineer](https://feeny.ai/job/qa-engineer-foundation-health-manchester-snyaj7946mjr) — Manchester