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Principal Engineer

Job Overview

Location

Orlando, FL

Job Type

Full-time

Category

Engineering

Date Posted

June 30, 2026

Full Job Description

đź“‹ Description

  • • Principal Engineer at Foundation Healthcare, LLC, serving as the most senior individual contributor in the new Orlando hub, acting as the technical anchor alongside the VP of Engineering to shape architecture, standards, and long-term platform direction across multiple product areas.
  • • Day-to-day responsibilities include owning system design for 10-100x scalability, defining AI integration strategies across product and engineering (including voice agents and clinical workflows), collaborating with product leadership to prioritize high-leverage initiatives, and mentoring engineers to grow the next generation of technical leaders.
  • • Foundation Health is transforming healthcare through an AI-powered digital pharmacy platform that integrates with Electronic Health Records to eliminate outdated 90s-era workflows, improve care coordination, and deliver scalable, patient-centric solutions—already live with enterprise customers and backed by Series A funding.
  • • The role offers the opportunity to build on a completely greenfield codebase with no legacy debt, make impactful technical decisions that shape the platform’s evolution over the next two years, and work directly with a VP of Engineering from DeepMind/Google in a culture that values hands-on technical contribution, autonomy, and innovation.

🎯 Requirements

  • • Proven track record of building complex systems from scratch and ability to contribute directly to code when needed, not just review it
  • • Strong engineering judgment with ability to balance speed and rigor, framing technical decisions in terms of business outcomes
  • • Genuine AI fluency, including experience building AI-powered products and routinely using AI tooling as part of development workflows
  • • High agency—proactively identifying what needs to be done and taking initiative without waiting for fully scoped tickets
  • • US-based or willing to relocate to Orlando, FL (relocation support provided)

🏖️ Benefits

  • • Significant equity compensation as a founding member of the new Orlando engineering hub
  • • Direct collaboration with a VP of Engineering formerly from DeepMind/Google
  • • Hands-on work with modern stack: Node/TypeScript/GCP, OpenAI, Langfuse, and Vertex AI in production environments impacting real patient care
  • • Opportunity to shape architecture, culture, and technical direction in a greenfield environment with no legacy debt or bureaucratic delays
  • • Mission-driven work transforming healthcare through AI-powered infrastructure that integrates with EHRs and scales with enterprise health systems

Skills & Technologies

TypeScript
Node.js
GCP
Senior
Onsite

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About Foundation Healthcare, LLC

Foundation Healthcare, LLC provides staffing and workforce solutions for healthcare organizations across the United States. The company recruits and places travel nurses, per-diem clinicians, allied health professionals, and advanced practice providers in hospitals, outpatient facilities, and long-term care settings. Through direct-hire, contract, and temporary placement models, it helps clients manage fluctuating patient volumes and specialized skill shortages while offering healthcare professionals flexible career options. Services include credentialing, compliance management, payroll, and benefits administration. Founded in 2009 and headquartered in Edmond, Oklahoma, it operates regionally and nationally, focusing on rural and underserved markets.

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