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Principal Software Engineer

Foundation HealthDigital Pharmacy company
Orlando, United StatesLead
Define Ventures
Vanderbilt University
Intermountain Ventures
Garry Tan (CEO, Y Combinator)
Transpose Platform
Tuesday VC
Software Engineering

About the role

TL;DR

Principal Software Engineer to own architecture and build AI systems for pharmacy.

  • Foundation Health is an AI operating system for pharmacy, aiming to streamline care coordination and reduce administrative burdens for pharmacy teams.
  • We are building a platform that uses AI to handle routine tasks, allowing clinicians to focus on patient care.
  • Key Responsibilities Own architecture across multiple product areas, designing systems for 10-100x growth.
  • Develop and implement agentic AI solutions for voice and SMS patient interactions in a regulated environment.
  • Design and build deep EHR integrations, focusing on accuracy and compliance.
  • Develop target-state architecture for platform scaling and lead migration efforts.
  • Contribute to AI engineering, including model selection, context management, and evaluation.
  • Requirements Deep, hands-on engineering experience with a proven track record of building complex systems.
  • Experience operating at Staff+ level with significant architectural decision-making impact.
  • Hands-on fluency with applied AI, including building LLMs in production.
  • High agency and ability to identify and solve high-leverage problems independently.
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Required skills

PythonLLMsMicroservicesAWSGoogle CloudAzureDockerKubernetesCI/CDGitLinuxREST API

Nice-to-have skills

TypeScriptLangChainNLPComputer VisionTensorFlowPyTorchscikit-learnOpenAI APIAnthropic APIGemini API

Domain expertise

healthtechai

Benefits & perks

equity, remote work

Tech stack

PythonJavaScriptTypeScriptGoSQLBashReactNode.jsDjangoFlaskFastAPISpringExpressRuby on Rails.NETNestJSReact NativeFlutteriOSAndroidSwiftUIJetpack ComposePandasNumPySparkAirflowdbtTableauPower BILooker

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