Software Engineer

Foundation Health Global Inc.; Manchester; Hybrid; GBP 65,000 - 100,000; Full time

Benefits offered by this job

Equity

Remote work

Health plans

Dental plans

Vision plans

Generous PTO

Stock options

Flexible schedule

Job summary

Foundation Health is hiring a Software Engineer in Manchester for backend systems that connect pharmacies, health systems and insurers. The role blends AI-powered capabilities with reliable distributed systems in a modern Node.js/TypeScript stack, within a hybrid work model.

You’ll own features end-to-end, collaborate across product and engineering leadership, and contribute to a product already in live use with enterprise customers. Equity and flexible work are offered.

Responsibilities

• Designing and building the back-end systems that connect pharmacies, health systems and insurers
• Solving hard distributed-systems problems: event-driven workflows, retries, idempotency, data consistency and failure recovery
• Owning substantial features from the initial problem through architecture, build, deployment and production
• Making pragmatic technical decisions as we scale, without overengineering for problems we don't have yet
• Building AI-powered capabilities into a live product, where reliability and correctness matter as much as speed
• Working directly with product and engineering leadership to shape the roadmap, architecture and what we build next

Job description

Join us in our mission to revolutionize healthcare.

Together, let's build something extraordinary that will shape the future of well-being for generations to come.

Embrace the opportunity to contribute to a team where your ideas and efforts make a tangible difference. The journey awaits – come be a part of building the future with Foundation Health

We're always looking for talented people, check out our latest job openings.

Software Engineer

Address

Employment Type

Full time

Location Type

Hybrid

Department

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.

The team: AI-native by design

Our VP of Engineering comes from DeepMind/Google, and we're building with AI from day one, both in the product and in how we engineer. We use AI tools to move faster, automate repetitive work and spend more time on problems that need real engineering judgement.

What you'll actually be doing

Designing and building the back-end systems that connect pharmacies, health systems and insurers

Solving hard distributed-systems problems: event-driven workflows, retries, idempotency, data consistency and failure recovery

Owning substantial features from the initial problem through architecture, build, deployment and production

Making pragmatic technical decisions as we scale, without overengineering for problems we don't have yet

Building AI-powered capabilities into a live product, where reliability and correctness matter as much as speed

Working directly with product and engineering leadership to shape the roadmap, architecture and what we build next

Manchester: where our core engineering team works

Our core engineering team is based in Manchester city centre. We're in the office together 1–2 days a week to work through hard problems and debate technical decisions. The rest of the week, work wherever you're most effective.

Not in Manchester yet? If you'd consider relocating, we can help with the move.

Why you'd leave your current role

Your work reaches real users. We're live with enterprise customers, so what you ship gets used, not lost in a backlog.

Interesting engineering problems. We're connecting fragmented healthcare systems, where data integrity and correctness really matter. This isn't a CRUD app with an AI feature bolted on.

Real ownership. You'll shape solutions, challenge assumptions and influence the roadmap and architecture. We want you making important technical decisions, not just implementing someone else's.

No legacy baggage. We're on a modern Node.js, TypeScript and GCP stack. You don't need to know it already. We care far more about the systems you've built than the tools you used.

Equity. You'll own a stake in the company you're helping build.

What we do care about

Strong engineering judgement. You can take an ambiguous problem, work out what matters, make sensible trade-offs and deliver without every step mapped out.

Back-end depth. You've built and operated production systems and know what happens beyond the happy path: distributed systems, databases, performance, observability and failure recovery.

Ownership beyond the code. You think about how a feature behaves in production, how customers use it and what could go wrong. You've made technical decisions with real consequences and can explain why you made them.

A builder's mindset. You've taken meaningful projects from idea to reality, at work or in your own time, and can explain the decisions and trade-offs you made.

Curiosity about AI. You've built AI products, use AI to improve how you work, or are actively exploring what's possible. You don't need to be an ML researcher.

Strong fundamentals. You reason from first principles and pick up unfamiliar tech quickly. A degree in Computer Science, Maths, Physics or Engineering is useful, but depth of engineering ability matters most.

Interested?

The funding's in place, the product is live and customers are asking for more than we can build. We're hiring engineers in Manchester to help close that gap.

At Foundation Health, your work makes a real difference. Enjoy a culture that champions your growth and well-being, within a team that's reshaping healthcare for the better.

Employee stock option program Invest in our growth and share in Foundation Health’s success.

Generous PTO Recharge with ample paid time off that supports your well-being.

Remote working Work from anywhere and thrive in a flexible, digital-first environment.

Health, dental and vision plans Comprehensive health coverage that puts your well-being first.

Flexible working Customize your work schedule for a perfect work-life harmony.