Staff Software Engineer in Manchester

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. We refuse to adhere to the status quo; instead, we actively pioneer solutions that will shape the healthcare practices of tomorrow. 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. At Foundation Health, we foster a culture that encourages our team members to broaden their horizons, urging them to bring their passion and curiosity to the workplace each day. We understand that diverse perspectives fuel progress, and we actively seek individuals who share our commitment to excellence and forward-thinking.

The Mission: Fixing Healthcare with Code

Healthcare is full of complex, frustrating workflows that haven’t changed in decades. We believe that thoughtfully applied AI can finally simplify these systems, improving both the provider's workday and the patient's experience. Specifically, we are revolutionizing the pharmacy space. We’re building AI-powered systems that integrate directly with Electronic Health Record (EHR) platforms, helping health systems operate effectively at scale. This is not a 'chatbot on a landing page' – it’s deep, integrated infrastructure that changes how care is delivered.

The Role: Impact & Strategic Scope

As a Staff Engineer, your influence extends beyond a single feature or sprint. You are a technical anchor for the entire domain, making decisions that shape our product for the next 6-12 months. You will:

• Drive Strategy: Balance short-term delivery pressure against long-term technical health, knowing exactly when to push back on requirements that create unsustainable technical cost.
• Connect the Dots: Translate complex business goals into technical implementations for leadership and represent the engineering perspective in cross‑functional planning.
• Own the Outcome: You are responsible for work that is visibly connected to customer satisfaction and revenue outcomes.

What You’ll Do

Technical Craft & Architecture

• Set the Bar: Establish the technical quality bar for the team and write code that serves as the gold‑standard reference implementation for others.
• System Design: Architect multi‑component systems across the team's domain, producing technical design documents reviewed by the broader organization.
• Modernize: Identify systemic quality issues like tech debt hotspots or test coverage gaps, and build the roadmaps for necessary migrations and remediation.
• Tooling: Onboard new patterns and languages as business needs evolve, ensuring we make correct long‑term technology choices.

AI Adoption & Leverage

• You won't just build AI features; you will redefine how we work through:
• Agentic Workflows: Design AI‑driven pipelines (automated code reviews, LLM‑assisted QA) to multiply the team's total output.
• Technical Implementation: Contribute to AI‑powered features using your working knowledge of RAG, function calling, and evaluation frameworks.
• Leadership in AI: Evaluate and select AI tooling for the team, establishing prompt libraries and workflow templates for company‑wide adoption.

Execution & Product Sense

• Lead Workstreams: Drive the delivery of entire projects across multiple engineers, managing cross‑team dependencies and owning technical roadmaps tied to product milestones.
• Quality Ownership: Own the end‑to‑end product surface, including correctness, reliability, latency, and user experience.
• User Advocacy: Run lightweight discovery – such as user interviews or support ticket analysis – to translate findings into engineering priorities.
• Accountability: Hold the team accountable for shipping software that solves real user problems, not just software that passes tests.

Leadership & Mentorship

• Growth: You are responsible for the technical growth of your peers through coaching, 1:1s, and leading hiring panels.
• Culture: Drive a culture of psychological safety and high performance.
• Alignment: Drive alignment on contentious technical decisions by explaining the 'why' behind ambiguous choices.

Why You’ll Love It Here

• The AI Playground: Get hands‑on with OpenAI, Langfuse, and Vertex AI to ship production features that impact real lives.
• No Legacy Debt: You’ll be writing new code on a modern Node/TS/GCP stack.
• High Agency: You have a direct seat at the table to influence both the product roadmap and the company's technical direction.
• Manchester & Beyond: Our hub is in Manchester City Centre, but we are a distributed‑first team where high‑performers are first‑class citizens regardless of location.
• Significant Equity: Join early and take a meaningful stake in the future we are building.

What We Care About

• You’re a Seasoned Builder: You have a track record of building complex systems from scratch and can articulate your specific impact.
• Problem Solver: You don't wait for the perfect Jira ticket; you figure out what needs to happen to move the needle and you do it.
• AI‑Native Mindset: You already use AI tools to maximize your own workload and are eager to help others do the same.

Ready to build the future of healthcare? Let’s talk.