Staff Software Engineer — AI Health Infra (Remote)

Foundation Health; Oregon; Hybrid; USD 150,000 - 230,000; Full time

Benefits offered by this job

Equity grant

Remote-first

Job summary

Foundation Health is building an AI operating system for pharmacies. We seek a Staff Engineer to own the prior auth pipelines, Epic integrations, and AI agents that handle patient calls and texts. You’ll shape architecture, write substantial code, and set the standard for the team while aligning with the broader platform.

This remote-first role is based in US Eastern or Central time. You’ll join a startup-sized team building impactful tooling with meaningful equity as the company scales.

Qualifications

• Experience owning a product and shaping its direction.
• Track record building complex systems from scratch.
• Hands-on by default, with ability to zoom out when needed.
• High agency; you don’t wait for a perfect ticket.
• Comfort with ambiguity in fast-moving environments.
• Daily use of AI tools (Claude/Cursor-native) and pushing them further.

Responsibilities

• Own production agentic systems in a regulated space, including automated workflows and AI features.
• Design system across the product, including Epic integration and patient communications infrastructure.
• Set coding standards, patterns, and review culture within the team.
• Deliver across the workstream with roadmaps tied to milestones and cross-team dependencies.

Skills

Hands-on engineering

Systems design

AI tooling (Claude/Cursor)

Delivery under ambiguity

Tools

Epic integration

LLM-assisted QA

RAG and function calling

Job description

Foundation Health is building an AI operating system for pharmacies. We seek a Staff Engineer to own the prior auth pipelines, Epic integrations, and AI agents that handle patient calls and texts. You’ll shape architecture, write substantial code, and set the standard for the team while aligning with the broader platform.

This remote-first role is based in US Eastern or Central time. You’ll join a startup-sized team building impactful tooling with meaningful equity as the company scales.