Staff Software Engineer
- Role
- Backend
- Experience
- Staff
- Employment
- Full-time
- Company size
- Startup
Open to GB only. Set where you work from to check your eligibility.
No BS summary
Staff Engineer needed to own a core product, making architectural decisions and writing code. Must have experience building complex systems, be comfortable with ambiguity, and use AI tools daily. The stack is Node/TypeScript/GCP with greenfield development.
Core skills
Required skills
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.
Fixing Healthcare, One System at a Time
Healthcare runs on workflows built in the 90s. We're changing that — specifically in pharmacy, where we're building AI-powered infrastructure that plugs directly into Electronic Health Record platforms, helping health systems actually function at scale. Not a chatbot. Not a wrapper. Real, deep infrastructure that changes how care gets delivered.
We're a Series A company already in production with enterprise customers already - so, the PMF question is answered. Now we're building the team that scales it.
The Role
We're looking for a Staff Engineer who's genuinely excited about owning something — not just contributing to it. You'll be a technical anchor for one of our core products, making architectural calls that matter six months from now, not just this sprint.
This is a hands-on role. You'll write code, not just review it.
What you'll be doing
You'll set the technical bar — through your own code as much as your decisions. You'll design systems that span multiple components, produce design docs the broader team actually uses, and spot the debt hotspots before they become fires.
On the AI side: we're native by design. Cursor, Claude, the lot. You'll design agentic workflows (automated reviews, LLM-assisted QA) and contribute directly to AI-powered features — RAG, function calling, evaluation frameworks. You'll also help pick the tooling and set the patterns others follow.
Beyond the code, you'll own delivery across workstreams, manage cross-team dependencies, and translate between what engineering can do and what the business needs. You'll grow the people around you through coaching and hiring, not through process overhead.
What we're looking for
- A track record of building complex systems from scratch — and being able to talk about the specific decisions you made and why
- High agency. You don't wait for a perfectly scoped ticket. You figure out what needs to happen and do it.
- Comfortable in ambiguity. We're a Series A — things move fast and change often
- Already using AI tools daily, and interested in pushing that further
- Strong educational foundation in CS or a related field
The stack: Node/TypeScript/GCP. No legacy code. Greenfield all the way.
Why now, why us
You'd be joining as one of the founding engineers in a new hub. That means real influence — on the product, the architecture, and the culture we build here. Meaningful equity, a seat at the table, and work that actually touches people's lives through the healthcare system.
What you'll do
- Set the technical bar — through your own code as much as your decisions.
- Design systems that span multiple components.
- Produce design docs the broader team actually uses.
- Spot the debt hotspots before they become fires.
- Design agentic workflows (automated reviews, LLM-assisted QA).
- Contribute directly to AI-powered features — RAG, function calling, evaluation frameworks.
- Help pick the tooling and set the patterns others follow.
- Own delivery across workstreams.
- Manage cross-team dependencies.
- Translate between what engineering can do and what the business needs.
- Grow the people around you through coaching and hiring, not through process overhead.
What they require
- A track record of building complex systems from scratch — and being able to talk about the specific decisions you made and why
- High agency. You don't wait for a perfectly scoped ticket. You figure out what needs to happen and do it.
- Comfortable in ambiguity. We're a Series A — things move fast and change often
- Already using AI tools daily, and interested in pushing that further
- Strong educational foundation in CS or a related field
Benefits
- Meaningful equity
- a seat at the table
- work that actually touches people's lives through the healthcare system
Foundation Health is transforming healthcare through an AI-powered digital pharmacy platform that connects operational infrastructure with high quality patient experiences.