{"id":1950775,"url":"https://alion.io/job/foundation-health-staff-software-engineer","title":"Staff Software Engineer","company":{"id":673335,"name":"Foundation Health","domain":"foundationhealth.com","url":"https://alion.io/company/foundationhealth","size_band":"51-200","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":85,"open_postings":5,"ghost_share":0,"stale_share":0.6,"repost_share":0,"time_to_fill_p50_days":42,"computed_at":"2026-10-14T06:34:16Z"}},"role":"Backend","role_family":"Backend","seniority":"staff","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Orlando, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":147000,"max_usd":269000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1256},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"Claude","optional":false},{"name":"Cursor","optional":false},{"name":"Function Calling","optional":false},{"name":"LLM","optional":false},{"name":"RAG","optional":false},{"name":"Slack","optional":false}],"status":"live","first_seen_at":"2026-10-06T09:09:27Z","employer_posted_date":"2026-10-06","last_verified_at":"2026-10-14T09:28:28Z","board_verified":true,"closed_at":null,"days_open":8,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":8},"description":"About Foundation Health\nFoundation 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.\nWe'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.\nThe Role\nWe'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.\nAs a Staff Engineer, you'll own the technical direction of one of our core products: the prior auth pipelines, the Epic integrations, and the AI agents that handle patient calls and texts. You'll make the architectural calls, write a lot of the code yourself, and set the standard for everyone else's. As one of the first senior engineers in our Orlando hub, you'll also shape how the team works. It's all greenfield and AI-native, and what you build is in a pharmacist's hands within days.\nMaybe you're somewhere big, where the systems are impressive but the ownership is glacial. Maybe you're at a startup that's stopped being one. Either way, the itch is the same. Here, the loop is: see the problem, build it, watch a pharmacist use it that week.\nThe technical problems you'd own\nProduction agentic systems in a regulated environment: automated workflows, LLM-assisted QA, and AI features (RAG, function calling, evals) where the output touches real patient care, so the evaluation bar is genuinely high\n\nMulti-component system design across a product domain, covering Epic integration, prior auth pipelines and patient communication infrastructure\n\nThe technical bar itself, set through your own code as much as your decisions. Your PRs should be the ones people learn from\n\nDelivery across a workstream: cross-team dependencies, roadmaps tied to product milestones, and accountability for shipping software that solves the user's problem, not just software that passes tests\n\nWhat we're looking for\nA track record of building complex systems from scratch, and the ability to talk through the specific decisions you made and why\n\nHigh agency. You don't wait for a perfectly scoped ticket; you work out what needs to happen and do it\n\nComfort with ambiguity. Things move fast and change often\n\nYou already use AI tools daily (we're Claude/Cursor-native across the team) and you're hungry to push that further\n\nWhere you'll work\nThis is a hybrid role, 3 days a week in our downtown Orlando office. It's not about attendance. We ship fast, and a few people round a whiteboard beats a 40-message Slack thread every time.\nOur VP of Engineering works from the same office, so you're a desk away from them, not a calendar invite away. There's no legacy estate to babysit, no change board and no three-week sign-off loop.\nThe practical stuff\nOur packages include equity, and it's early enough that it actually means something, not a rounding error. Orlando also means your comp survives contact with your cost of living, and Florida has no state income tax. We're backed by Define Ventures, led by a 2x founder, and our VP of Engineering came from DeepMind.","description_format":"text","description_chars":3852,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Pharmacies"],"lifecycle":[{"event":"open","at":"2026-10-06T09:58:48Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 1 · green card filings: 1","filings_12m":1,"filings_prev_12m":0,"green_card_filings_12m":1,"median_offered_wage_usd":397500,"route":null,"cap_exempt":false,"checked_at":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":0}],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":1,"age_days":7,"expected_fill_days":42,"reasons":["conf:2","velocity","win:early"],"computed_at":"2026-10-14T06:34:16Z"},"pay":null,"html_url":"https://alion.io/job/foundation-health-staff-software-engineer","json_url":"https://alion.io/job/foundation-health-staff-software-engineer.json","meta":{"generated_at":"2026-10-14T10:12:45Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":11750,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":673335},"rest":"https://alion.io/mcp/rest/get_company?id=673335"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ffoundation-health-staff-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ffoundation-health-staff-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ffoundation-health-staff-software-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/foundation-health-staff-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ffoundation-health-staff-software-engineer"}]}