[Hiring] 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.

Here's the early-career fork in the road: at a big company, you'll spend year one on internal tooling, ship through six layers of review, and learn how a large org works. Here, you'll ship to production in your first week, on systems pharmacists and patients actually depend on, sitting (virtually or in Orlando) next to engineers who've built at serious scale. Same years of your career. Very different compounding.

What you'll actually do:

• Ship well-scoped features and fixes independently, with proper test coverage, at a pace you'll be proud of.
• Work AI-native from day one — Claude, Cursor, the lot — as a first-class part of how you build, with the judgment to know when the output needs a second look.
• Learn the domain deeply: who the pharmacist is, what workflow they're stuck in, why your ticket exists — and ask "why" when a requirement feels off.
• File the bugs and UX issues you notice without waiting to be told.
• Level up fast through code review and pairing with engineers who've built serious systems — the feedback loop here is customers, not committees.

Qualifications

• Sharp CS fundamentals and evidence you love building: side projects, internships, open source, a startup that didn't work — something you made because you couldn't not.
• Learning velocity. You pick things up fast and you enjoy the discomfort of not knowing yet.
• High agency and curiosity about the product, not just the code.
• Already building with AI tools, and thoughtful about their limits.
• Stack is Node/TypeScript/GCP. If you've not used it, that's fine — that's the point of learning velocity.

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.