Principal Software Engineer

The role

You will own architecture across several product areas and design scalable systems. You will build agentic AI, handle deep EHR integration, and lead AI engineering practices.

What you will do

• Own architecture across several product areas
• Design systems that can grow 10–100x without a rewrite
• Build the first version of the company's hardest problems
• Mentor and lead projects across teams
• Change how the company builds using AI to ship faster
• Develop agentic AI for voice and SMS including evals, guardrails, and red teaming
• Manage deep EHR integration including Epic queues and prior authorization automation
• Build target-state architecture to migrate the platform to hundreds of health systems
• Handle model selection, context management, cost, latency, and evaluation methodology

Required qualifications

• Built serious systems with your own hands recently
• Worked at Staff+ level somewhere with a high bar
• Built with LLMs in production including agents, tool use, evals, and guardrails
• Experience in environments where mistakes are expensive such as healthcare, fintech, fraud, or trust and safety

Nice to have

• Experience rolling out agentic dev practices at a team or company level
• Experience working on AI safety or LLM security in production

Benefits

• Founding-role equity

About the company

Foundation Health is an AI operating system for pharmacy. They are a team of about 70 people that has raised a $20M Series A.