QA Lead

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 Role

You'd be joining alongside our QA Lead in the US, with real ownership of building this out properly in the UK: strategy, tooling, standards, process — all still very much taking shape. There's no hands-off management here — everybody, at every level, is hands-on, and that includes you.

And because we're AI-native by design, testing here isn't testing conventional software. You'll be leading the charge on how we test AI-led products across the UK — agentic workflows, LLM-based features, non-deterministic behaviour that doesn't fit a traditional pass/fail script.

What you'll actually do:

• Build out our QA function properly: strategy, process, tooling and standards, working alongside our US QA Lead as we grow this on both sides of the Atlantic.
• Design and own testing for AI-driven features: agentic workflows, LLM outputs, evaluation frameworks, and the genuinely hard question of what 'correct' even means when a system doesn't behave the same way twice.
• Get hands-on with automation using Playwright and TypeScript — and just as hands-on with manual testing, regression and UAT when that's what a release actually needs. This isn't a role where you delegate the manual work away.
• Set the bar for how quality gets handled company-wide as we scale — not just catching bugs, but building the culture that prevents them.
• Work closely with Engineering and Product to make sure quality is part of how things get built, not a gate bolted on at the end.

Who thrives here?

• Builders, not inheritors. You've either grown a QA function from something small before, or you've been desperate for the chance to. Coming into an established, fully-formed process isn't what excites you — shaping something still taking form is.
• Genuinely fluent in AI, not just aware of it. AI is already part of your day-to-day — you use it properly, and you're curious about pushing it further. And on the testing side, you've either tested AI-led products already or you understand exactly why testing them is a different problem to testing normal software.
• True hybrids, with zero ego about it. You're as comfortable writing a Playwright suite in TypeScript as you are doing hands-on manual testing, regression and UAT. Nobody here delegates the 'unglamorous' work away — including you.
• Strong technical fundamentals underneath the modern tooling. Test strategy, defect management, release process — the fundamentals are solid, even if the problems you're applying them to are new.
• People who lead by doing. This role grows into shaping and leading QA in the UK as we scale. But there's no hands-off management track here — whoever's in this role is still testing, still in the detail, still building alongside the team, at every stage of growth.