Foundation Health is the AI operating system for pharmacy.

We help health system pharmacies do more with less by embedding AI directly into existing clinical workflows and EHRs, including Epic and Cerner, without disrupting how teams work today.

Our platform automates and augments core pharmacy operations across:
- Prior Authorizations – reduce manual work and accelerate approvals
- Refill Authorizations – increase throughput with AI-assisted clinical review
- MSOT & Intake Workflows – capture and route specialty prescriptions with precision
- Patient Communications – automate outreach across SMS and voice
- 340B Compliance & Revenue Recapture – identify ineligible claims, ensure compliance, and recover missed revenue
- Infusion Workflow Management – automate end-to-end medical infusion workflows, from eligibility and prior authorization to site of care and scheduling, to accelerate time to treatment

The result: less administrative burden, faster patient access, higher capture rates, and scalable growth—without adding headcount.

Built on HIPAA-compliant, SOC 2-certified infrastructure.

Reach out to discover how our AI operating system transforms pharmacy workflows.

Foundation Health

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.

You'll own features end-to-end: from a loose product requirement, through the data model and API design, to production and into a customer's hands — sometimes within 48 hours.

Think about your last launch. How long between "this is obviously right" and "it's live"? Whether the delay was review layers, a roadmap you didn't control, or a client who kept changing their mind — that gap is the reason this role exists. No ticket factory, no hands-off managers to route decisions through, no theatre.

The technical problems you'd own

Features built on LLMs that ship to real users in a regulated environment — which means evals, guardrails, and thinking hard about failure modes, not demo-wareIntegration with the messy, fascinating reality of healthcare systems: Epic workflows, prior auth logic, pharmacy operationsFull-feature architecture: data models, APIs, state, rollout — yours, end to endYour own feature area's health: you'll watch metrics, error logs and user feedback because it's yours, not because someone assigned you a dashboard

What We're Looking For

You've shipped production systems you can talk about in depth — the choices, the tradeoffs, what you'd do differentlyYou thrive when the path isn't fully paved. Loose requirements energize you rather than block youGenuine product instinct: you ask "why" when a requirement feels off, and you treat regressions personallyAI tools are already embedded in how you work, not a thing you're meaning to try

Stack is Node/TypeScript/GCP, all greenfield — but we hire engineers, not stacks.

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.



Senior Software Engineer

What the job involves