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Senior Backend Engineer (AI-Powered Healthcare Systems)

foundation health • United Kingdom
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AI Summary

Build AI-native backend systems for pharmacy coordination, focusing on distributed workflows, data consistency, and AI integration. Requires deep back-end expertise, ownership mindset, and curiosity about AI. Full-time role in Manchester, UK, with hybrid flexibility.

Key Highlights
AI-powered backend systems for pharmacy coordination
Distributed systems expertise (event-driven workflows, failure recovery)
Full ownership of features from architecture to production

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Key Responsibilities
Design and build back-end systems connecting pharmacies, health systems, and insurers
Solve distributed systems problems (event-driven workflows, retries, idempotency, data consistency, failure recovery)
Own features from architecture to production deployment
Integrate AI capabilities into live products with reliability and correctness
Collaborate with product and engineering leadership to shape roadmaps and architecture
Technical Skills Required
Distributed Systems Backend Engineering AI Integration

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Benefits & Perks
Equity stake in the company
Hybrid work (1–2 days in-office in Manchester)
Real-world impact on live enterprise products
Modern tech stack (Node.js, TypeScript, GCP)

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Nice to Have
Experience with AI/ML product development
Deep knowledge of databases and performance optimization
Experience with cloud platforms (e.g., GCP)

Job Description

Foundation Health is an AI operating system for pharmacy, solving delays and inefficiencies in healthcare coordination. We’re building AI-powered infrastructure to streamline workflows between pharmacies, health systems, and insurers.

What You’ll Do:

  • Design and build back-end systems connecting fragmented healthcare systems, including event-driven workflows, retries, idempotency, and failure recovery.
  • Own features from architecture to production, making pragmatic technical decisions as the company scales.
  • Integrate AI capabilities into live products, ensuring reliability and correctness alongside speed.

Why This Role:

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Job Overview
Posted Nov 13, 2026
Employment Full-time
Experience Mid-Senior level
Location United Kingdom
Category Programming
Company foundation health
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