---
title: 'Staff Software Engineer at Foundation Health'
canonical: 'https://feeny.ai/job/staff-software-engineer-foundation-health-united-states-98qxspjyp5ng'
type: 'job'
last_seen: '2026-11-02'
---

# Staff Software Engineer at Foundation Health

- **Company:** Foundation Health
- **Location:** United States
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-28
- **Last confirmed live:** 2026-11-02
- **Apply:** https://jobs.ashbyhq.com/foundationhealthcareers/b1bbe3a7-e3a7-420e-845d-ce8a8de529e7

## 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

We’ve built an AI operating system for pharmacies. It handles the operational work behind paperwork, prior auths and care coordination. It’s live with enterprise health systems across the US, and we’re working directly with one of the biggest names in pharmacy.

As a Staff Engineer, you’ll own one of our core products: the prior auth pipelines, the Epic integrations, and the AI agents that handle patient calls and texts. You’ll make the architectural calls, write a lot of the code yourself, and set the standard for everyone else working on it. Most days you’re deep in the code. But you’re also the person who can step back, see how the product fits with the systems around it, and spot the problem coming before it lands.

Maybe you’re somewhere big, where the systems are impressive but the ownership is glacial. Maybe you’re at a startup that’s stopped being one. Either way, the itch is the same. Here the loop is: see the problem, build it, watch a pharmacist use it that week.

## What you’d own

- Production agentic systems in a regulated space. That covers automated workflows, LLM-assisted QA, and AI features like RAG, function calling and evals. The output touches real patient care, so “it mostly works” isn’t the bar.
- System design across your product. That spans the Epic integration, the prior auth pipelines and the patient comms infrastructure, with an eye on how it all connects to the rest of the platform.
- The standards on your team. You set the patterns, the review culture and the quality bar, mostly through your own code. Your PRs should be the ones people learn from.
- Delivery across your workstream. That means roadmaps tied to product milestones, cross-team dependencies, and shipping software that solves the user’s problem, not just software that passes tests.

## What we’re looking for

- You’ve owned a product before and made the calls that shaped it. You felt it when it broke.
- A track record of building complex systems from scratch, and you can talk us through the specific decisions you made and why.
- You’re hands-on by default, and you can zoom out when the situation needs it.
- High agency. You don’t wait for a perfectly scoped ticket. You work out what needs to happen and do it.
- Comfort with ambiguity, because things move fast and change often.
- You use AI tools daily (we’re Claude/Cursor-native across the team) and you want to push that further.

Where you’ll work This role is remote-first, but you need to be based in US Eastern or Central time. Our customers, our pharmacy partners and a lot of the team sit there, and you can’t really own a product from six hours out of sync. If you’re near Orlando, we’ve got an engineering hub downtown you’re welcome to use.

There’s no legacy estate to babysit, no change board and no three-week sign-off loop.

The upside We’re a Series A company of about 70 people, and roughly 40 of them are engineers. At that size, a Staff hire shapes how the product turns out. The equity reflects that: this is a meaningful grant at an early stage, not a rounding error. If this works, you’ll have built a core part of it, and you’ll own a real piece of it.

We’re backed by Define Ventures and led by a 2x founder. Our VP of Engineering came from DeepMind.

## 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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