The posting
About Foundation Health
Foundation Health is an AI operating system for pharmacy - built by a team who lived the problem firsthand, not one that came to healthcare from the outside. Every day, prior authorizations delay prescriptions, pharmacists lose hours to paperwork instead of patients, and prescriptions slip through the cracks between health systems. We believe thoughtfully applied AI can finally change that - deep, integrated infrastructure that streamlines how care is coordinated, purpose-built for the complexity of specialty pharmacy.
We're building toward a world where pharmacy teams spend their time on patients, not paperwork - where AI handles the routine so clinicians can focus on what only humans can do. Getting there takes the right people. We're looking for curious, ambitious folks who want to help solve healthcare's hardest problems - for our patients, our partners, and each other.
The Role:
Somewhere along the way, work got predictable. The problems arrive pre-scoped, the interesting decisions happen somewhere above you, and the thing you're actually good at - figuring things out - is the thing you get to do least.
This role is the opposite of that.
You'd be our second US Product hire - real 0-1 building in a fully AI-native company, shipping AI products into healthcare, at a pace where your decisions go live in days.
And while nobody here will scope your work for you, you'll be surrounded by people worth learning from: an ex-DeepMind VP of Engineering, and an experienced Product Director with deep domain expertise who's seen this space from every angle.
Real ownership, with real people to sharpen against. That combination is rarer than it should be.
What you'll actually do:
Honestly? Things we can't fully explain how to do - because nobody's done them yet. That's the job.
- Take genuinely ambiguous problems ("patients keep dropping off between prescription and refill - fix it") and figure out what gets built and why
- Ship AI products - AI isn't a feature we bolted on, it's what we build and how we work
- Do real discovery - talk to customers, pharmacists and patients, then come back with a point of view
- Work daily with Engineering and Design; you'll be in the detail, not above it
- Make the case, not just the product - the best PMs here can put numbers behind "why this, why now"
- Move fast. Our cycle times are days and weeks, not quarters, and your decisions go live
One thing we won't do is hold your hand. The problems arrive ambiguous, there's no playbook, and nobody will scope your work for you. If that sounds like the appeal rather than the risk — keep reading.
Who thrives here?
- Smart generalists who figure things out. You don't need to have done this exact job before. You need to be the person who, given a problem no one's solved and no instructions, just starts solving it - and enjoys it.
- High-agency owners. You don't wait to be told, you don't need work scoped for you, and you're at your best when something is genuinely yours - your call, your build, your consequences.
- People who are already AI-obsessed. You don't need to have shipped AI products professionally. But AI is probably already stitched into your day - drafting, triaging, building little things on the side, whatever you've rigged up - and you're learning in your own time because you can't help it. That's how we work too.
- Clear communicators. We move quickly, which only works when people get to the point - with engineers, with customers, with each other. If you can make a complex thing simple, you'll do well here.
- The endlessly curious. You're the person who's always got ideas, who reads about things outside your lane, who'd turn up to a conversation with us having already poked around how prescriptions actually work. No healthcare experience needed - just genuine hunger to learn a messy, regulated, fascinating space.
- People who want the startup pace. Small team, short cycles, real ownership, no ceiling. If that sounds energising rather than terrifying, you're our kind of person.
