[Hiring] Senior Software Engineer @Foundation Health

Role Description

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-ware.
• Integration with the messy, fascinating reality of healthcare systems: Epic workflows, prior auth logic, pharmacy operations.
• Full-feature architecture: data models, APIs, state, rollout — yours, end to end.
• Your 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.

Qualifications

• You've shipped production systems you can talk about in depth — the choices, the tradeoffs, what you'd do differently.
• You thrive when the path isn't fully paved. Loose requirements energize you rather than block you.
• Genuine product instinct: you ask "why" when a requirement feels off, and you treat regressions personally.
• AI 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.

Benefits

• 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.
• It's early enough that the equity is founding-role equity, not a rounding error.