Foundation Health
Foundation Health
Foundation Health builds AI-powered infrastructure for digital healthcare. Its platform combines white-labeled pharmacy, telehealth, and diagnostic services with pharmacy-as-a-service and direct-to-patient capabilities, helping health systems, payers, pharmaceutical manufacturers, consumer health companies, and developers integrate care delivery into their own products and ecosystems. Developer-first APIs connect telehealth, pharmacy, and laboratory services, while AI supports workflows such as prior authorization, patient outreach, and medication adherence. The company provides SaaS-style healthcare technology designed for compliant, enterprise use.

Principal Software Engineer, AI and Healthcare Systems — Hybrid Orlando

Lead architecture and delivery for patient-facing AI, EHR integrations, and scalable pharmacy infrastructure at Foundation Health. Shape safety, compliance, and engineering practices across health systems.

Description

  • Own architecture across multiple product areas.
  • Design systems that can scale 10–100x without requiring a rewrite.
  • Build initial solutions for the company’s most challenging technical problems.
  • Mentor engineers and lead cross-functional projects.
  • Advance engineering practices, including responsible AI use that improves delivery speed without compromising quality.
  • Develop safe agentic AI for patient-facing voice and SMS experiences.
  • Create evaluations, guardrails, red-team processes, and pharmacist-oversight designs.
  • Integrate with Epic EHR workflows, including queues and prior-authorization automation.
  • Support 340B compliance requirements.
  • Define target-state architecture and lead expansion from a small number of health systems to hundreds.
  • Guide decisions on model selection, context management, cost, latency, and evaluation methods.
  • Partner directly with the VP of Engineering and CEO.

Requirements

  • Recent, hands-on experience building complex production systems.
  • Staff-plus experience in a high-bar engineering organization.
  • A track record of making architectural decisions that support ongoing business operations.
  • Production LLM experience beyond SDK usage, including agents, tool use, evaluations, and guardrails.
  • Production experience with AI safety or LLM security is valuable.
  • Experience working where failures carry significant consequences, such as healthcare, fintech, fraud, trust and safety, or compliance-focused environments.
  • Ability to design systems for 10–100x growth without a rewrite.
  • Ability to operate across architecture, AI engineering, EHR integration, and compliance-sensitive systems.
  • Ability to show measurable outcomes from adopting agentic development practices, including effects on output and quality.
  • Preference for working primarily across Eastern or Central time zones.

Benefits

  • Equity associated with a founding role.
  • Remote-first work within the United States.
  • Access to an engineering hub in downtown Orlando, with occasional visits.
  • Preferred alignment with Eastern or Central time zones.

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