Senior Software Engineer - Healthcare

Foundation Health is seeking a Senior Software Engineer to join a small team transforming healthcare with an AI-powered digital pharmacy platform. This role involves building large sections of functionality, integrating with EHRs like Epic and Cerner, and developing FHIR and HL7 compliant solutions. The ideal candidate will take ownership of their builds, ensuring reliability, scalability, and compliance, and help shape the evolving tech stack and culture.

Must Have

• Legally authorized to work in the United States without sponsorship.
• Based in Texas (strongly preferred).
• 8+ years of commercial experience in modern languages (Typescript / Golang / Rust / C# / Java).
• 5+ years of commercial experience with Typescript.
• 5+ years of working on web APIs / services.
• 3+ years working with a modern frontend framework (Svelte / Angular / React / Vue.js).
• Experience working in the Healthcare industry.
• Proven experience building & maintaining Epic EHR products/solutions.
• Proven experience building FHIR + HL7 compliant solutions.
• Experience working with Infrastructure as Code technologies (Terraform, AWS CloudFormation etc.).
• Experience delivering large pieces of functionality as an individual contributor.
• Experience working on containerized apps.
• Experience working with serverless technologies.

Good to Have

• Experience working in an eCommerce setting.
• Experience with Google Cloud Platform (GCP).
• Experience architecting new solutions.
• Experience working with event-driven architectures & paradigms.

About Foundation Health

Foundation Health is transforming healthcare through an AI-powered digital pharmacy platform that seamlessly connects operational infrastructure with high quality patient experiences. Our mission is to transform patient centric care by connecting fragmented infrastructure, optimizing care coordination, and removing friction from the patient journey.

This ambitious vision is only achievable with the dedication of the right team propelling us forward. We firmly believe that a supportive and inspiring work environment fuels creativity, transforming it into groundbreaking innovation. It is this very innovation that not only benefits our organization but also positively impacts our people, partners, and most importantly, our patients.

Tech Stack

There is an ideal opportunity to join & help shape our evolving tech stack. Our strategy is to lean on managed services & serverless technologies to help deliver our platform quickly & in a scalable way, without the headache of managing lots of complex infrastructure.

We’re currently using the following languages & technologies:

• Node.js with Typescript
• SvelteKit
• Docker
• Google Cloud Platform services including:
• Cloud Run
• Cloud Functions
• PubSub
• Cloud Tasks
• API Gateway

The Candidate

We’re looking to build a small team of highly skilled engineers that are looking for opportunities to own & deliver entire sections of the platform. This is a great opportunity for someone who is motivated by solving technical challenges & looking to help architect entirely new apps & services.

We are looking for candidates who are comfortable taking on ownership of the things they build. This means that it will be up to the individuals to ensure they are building things in a reliable, scalable, cost-efficient & compliant manner.

We want individuals who have great ideas and are keen to share them. We will be building our standards & culture together. As part of this aim we want to ensure that we balance the best of fully remote working with in-person collaboration.

What you will be doing

• Building large sections of functionality, even entire services. This is a small team & there’s lots to do so you won’t be doing small bits & pieces all over the place.
• Working on healthcare use cases, including integrating with EHRs such as Epic and Cerner and building FHIR and HL7 compliant solutions
• Reviewing the code & testing the features of your fellow engineers. We’re all QA here!
• Providing 24/7 support for the things you build. Our goal is to prioritize stability & minimize the need for this but it is a responsibility that we will all share as a team.
• Helping define & shape our tech stack, culture, standards & more.

What we are looking for

We looking for candidates with healthcare industry experience. This is a senior role so the decisions you make will have wide impacts for the entire company. With that in mind we ask for candidates with the following experience:

Essential

• Must be legally authorized to work in the United States without the need for current or future employer sponsorship.
• Based in Texas (strongly preferred)
• 8+ years of commercial experience in modern languages (Typescript / Golang / Rust / C# / Java)
• 5+ years of commercial experience with Typescript
• 5+ years of working on web APIs / services
• 3+ years working with a modern frontend framework (Svelte / Angular / React / Vue.js)
• Experience working in the Healthcare industry
• Proven experience building & maintaining Epic (required) and Cerner (desirable) EHR products/solutions
• Proven experience building FHIR + HL7 compliant solutions
• Experience working with Infrastructure as Code technologies (Terraform, AWS CloudFormation etc.)
• Experience delivering large pieces of functionality as an individual contributor
• Experience working on containerized apps
• Experience working with serverless technologies (GCP preferred but not essential)

Desirable

• Experience working in an eCommerce setting
• Experience with Google Cloud Platform (GCP)
• Experience architecting new solutions
• Experience working with event-driven architectures & paradigms.