Software Engineer

Foundation Health is an AI operating system for pharmacy, building deep, integrated infrastructure that streamlines how care is coordinated, purpose-built for the complexity of specialty pharmacy. The core engineering team is based in Manchester city centre and is in the office together 1-2 days a week. The company is live with enterprise customers and is hiring engineers in Manchester.

Responsibilities

Designing and building the back-end systems that connect pharmacies, health systems and insurers; Solving hard distributed-systems problems: event-driven workflows, retries, idempotency, data consistency and failure recovery; Owning substantial features from the initial problem through architecture, build, deployment and production; Making pragmatic technical decisions as the company scales, without overengineering; Building AI-powered capabilities into a live product, where reliability and correctness matter as much as speed; Working directly with product and engineering leadership to shape the roadmap, architecture and what is built next

Requirements

Strong engineering judgement, able to take an ambiguous problem, make sensible trade-offs and deliver without every step mapped out; Back-end depth, with experience building and operating production systems, including distributed systems, databases, performance, observability and failure recovery; Ownership beyond the code, thinking about how features behave in production and having made technical decisions with real consequences; A builder's mindset, with meaningful projects taken from idea to reality; Curiosity about AI, having built AI products, used AI to improve work, or actively explored what's possible; Strong fundamentals, reasoning from first principles and picking up unfamiliar tech quickly

Nice to have

A degree in Computer Science, Maths, Physics or Engineering

Benefits

Equity, with a stake in the company; Relocation help for candidates who would consider moving to Manchester; Work from anywhere for the rest of the week outside the 1-2 office days