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System Design
What you'd own:
- Production agentic systems in a regulated space, covering automated workflows, LLM-assisted QA, and AI features like RAG, function calling and evals.
- System design across your product, spanning Epic integration, prior auth pipelines, and patient comms infrastructure, with an eye on how it connects to the rest of the platform.
- The standards on your team and delivery across your workstream: patterns, review culture, quality bar, and roadmaps tied to product milestones.
What we're looking for:
- You've owned a product before and made the calls that shaped it.
- A track record of building complex systems from scratch, with specific decisions you made and why.
- High agency, comfort with ambiguity, and daily use of AI tools (Claude/Cursor-native).
Where you'll work:
- Remote-first, but based in US Eastern or Central time to stay in sync with customers and team.
- Option to use the engineering hub in downtown Orlando if nearby.
- No legacy estate, no change board, no three-week sign-off loop.
The upside:
- Series A company of about 70 people, roughly 40 engineers, so a Staff hire shapes the product.
- Meaningful early-stage equity grant.
- Backed by Define Ventures, led by a 2x founder, VP Engineering from DeepMind.
Foundation Health
Foundation Health is an AI operating system for pharmacy, built by a team with firsthand experience to streamline prior authorizations, paperwork, and care coordination. It is a Series A company of about 70 people, with roughly 40 engineers, focused on solving healthcare's hardest problems.