QA Lead

Foundation Health; Manchester; Hybrid; GBP 70,000 - 110,000; Full time

Benefits offered by this job

Equity

Relocation assistance

Job summary

Foundation Health is building an AI-native operating system for pharmacy. This role is to establish and lead the QA function in the UK, owning strategy, tooling, and standards for testing AI-led features and agentic workflows.

You will write Playwright/TypeScript tests, perform manual testing, and collaborate with Engineering and Product to ensure quality is designed-in. Relocation support is available and equity is offered as part of Series A.

Qualifications

• Experience building and leading a QA function from the ground up.
• Proven ability to test AI-led products and justify non-deterministic behaviours.
• Comfort with both automated and manual testing, including UAT.

Responsibilities

• Build out the QA function (strategy, process, tooling, standards) in the UK.
• Own testing of AI-led features, including agentic workflows and LLM outputs.
• Write Playwright tests in TypeScript and perform regression and UAT as needed.
• Work with Engineering and Product to embed quality throughout the development cycle.
• Assist in hiring and growing the QA team as the company scales.

Skills

QA leadership

AI testing

Playwright

TypeScript

Regression testing

User Acceptance Testing

Automation

Tools

Playwright

TypeScript

Job description

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.

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.

The Role

You'd be joining alongside our QA Lead in the US, with real ownership of building this out properly in the UK: strategy, tooling, standards, process - all still very much taking shape. There's no hands-off management here - everybody, at every level, is hands-on, and that includes you.

And because we're AI-native by design, testing here isn't testing conventional software. You'll own how we test AI-led products in the UK - agentic workflows, LLM-based features, non-deterministic behaviour that doesn't fit a traditional pass/fail script.

We've built an AI operating system for pharmacies, tackling the operational infrastructure behind things like paperwork and care coordination. It's in production with enterprise health systems across the US, and we're working directly with one of the biggest names in pharmacy.

What You'll Actually Do

• Build out the QA function (strategy, process, tooling, standards), working with our US QA Lead so both sides run as one team
• Own how we test AI-led features: agentic workflows, LLM outputs and evaluation frameworks. You'll work out how to sign something off when it doesn't behave the same way twice
• Write automation in Playwright and TypeScript, and do manual testing, regression and UAT yourself when a release needs it
• Work with Engineering and Product so quality is part of how things get built, not a gate at the end
• Help hire and grow the QA team as we scale

Who You Are

• You build things. You've grown a QA function from something small, or you've been itching to. A fully formed process to inherit isn't what gets you out of bed.
• You actually use AI. It's part of your day-to-day already. You've tested AI-led products, or you can explain clearly why it's a different problem from testing normal software.
• You do every part of the job. You're as happy writing a Playwright suite as running a UAT session. You don't think of any of it as beneath you.
• Your fundamentals are solid. Test strategy, defect management and release process are second nature, even when the thing you're testing is new.
• You lead by doing. You'll grow into leading QA in the UK, but you'll still be hands-on the whole way.

The setup

Hybrid, Manchester city centre, 1-2 days a week in the office. When you're working out what "correct" even means for an AI system, a whiteboard and the right three people in a room beat a Slack thread every time.

Not local? We offer relocation support for the right person. However, you must currently be UK-based.

We're Series A, there's early equity, and the work genuinely changes how people get their medication.