Principal Software Engineer

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.

You'll be the technical anchor for our brand new engineering hub in Orlando, working directly alongside our VP of Engineering (ex-DeepMind/Google) and a 2x Founder CEO.

Owning architecture across multiple product areas. Setting the standards everyone else builds to. Making the calls that decide where this platform is in two years, not just this quarter.

One thing we're clear on: this isn't an ivory-tower architect role. You'll lead system design and get into the codebase when it matters. At Foundation Health, technical credibility comes from doing, not directing.

And you're doing it on a greenfield codebase. No decade of technical debt, no committee sign-offs, no waiting three sprints for someone to approve a migration. Hard, interesting problems — and the autonomy to solve them properly.

Own platform architecture . Design systems that handle 10-100x growth without a rewrite. Establish the patterns the wider engineering org adopts. Spot the root-cause problems before they get expensive.