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Principal Software Engineer (AI/ML & Architecture)

foundation health • United States
Full Remote
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Lead AI/ML architecture for healthcare platform, focusing on agentic AI safety, EHR integration, and scalable systems. Mentor engineers, drive AI engineering practices, and architect for growth. Requires hands-on experience with LLM-based systems, high-stakes compliance, and scalable software design.

Key Highlights
Architect AI/ML systems for patient-facing healthcare applications (voice/SMS agents).
Design guardrails, evaluations, and pharmacist oversight for AI safety in production.
Lead deep EHR integrations (Epic, prior authorization automation, 340B compliance).
Scale platform architecture for hundreds of health systems with minimal technical debt.
Mentor engineers and drive AI engineering best practices (model selection, cost/latency tradeoffs).
Key Responsibilities
Design and implement agentic AI systems for patient-facing use (voice/SMS agents).
Develop guardrails, evaluation methodologies, and pharmacist oversight for AI safety.
Lead deep EHR integrations with Epic systems, including prior authorization automation.
Architect scalable systems capable of supporting hundreds of health systems.
Mentor engineers and drive improvements in AI engineering practices.
Collaborate closely with VP of Engineering and CEO on technical strategy.
Technical Skills Required
AI/ML Architecture LLM-Based Systems EHR Integration (Epic)
Benefits & Perks
Founding-role equity
Remote-first with US-based engineering hub in Orlando
Direct collaboration with VP of Engineering and CEO
High-impact, hands-on architecture ownership
Nice to Have
Experience in healthcare compliance (e.g., HIPAA, 340B).
Prior work in fintech or fraud/trust and safety domains.
Experience with agentic AI deployment in production environments.
Background in mentoring and leading engineering teams.

Job Description

About Foundation Health

Foundation Health is an AI operating system for pharmacy, built by a team with firsthand healthcare experience. The platform is live in production, handling real patient communication via voice and SMS, and integrates directly with Epic workflows. The role involves owning architecture across critical product areas, ensuring systems can scale 10–100x without rewrites.

The Role

You’ll design and build:

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