Staff Software Engineer

Foundation Healthcare, LLC

Job Overview

Location

Orlando, FL

Job Type

Full-time

Full Job Description

📋 Description

• Serve as a technical anchor for the engineering domain, making strategic decisions that shape product direction and technical health over a 6–12 month horizon.
• Balance short-term delivery demands with long-term architectural sustainability, pushing back on requirements that introduce unsustainable technical debt.
• Translate complex business objectives into clear technical implementations and represent engineering perspectives in cross-functional leadership planning.
• Establish and uphold the team’s technical quality bar by writing reference-grade code that sets the standard for others.
• Architect multi-component systems within the pharmacy automation domain, producing detailed technical design documents reviewed by the broader engineering organization.
• Identify and remediate systemic quality issues including tech debt hotspots, inadequate test coverage, and scalability bottlenecks through structured migration roadmaps.
• Evaluate and onboard new technologies, languages, and patterns as business needs evolve, ensuring long-term technology choices align with organizational goals.
• Design and implement AI-driven agentic workflows such as automated code reviews and LLM-assisted QA pipelines to increase team output and efficiency.
• Contribute directly to AI-powered features using working knowledge of RAG, function calling, and evaluation frameworks within production systems.
• Evaluate, select, and standardize AI tooling for the team, including establishing prompt libraries and workflow templates for company-wide adoption.
• Lead end-to-end delivery of complex projects across multiple engineers, managing cross-team dependencies and owning technical roadmaps tied to product milestones.
• Own the end-to-end product surface including correctness, reliability, latency, and user experience for critical healthcare infrastructure systems.
• Conduct lightweight user discovery through interviews and support ticket analysis to inform engineering priorities and ensure solutions solve real patient and provider problems.
• Hold the team accountable for shipping software that delivers tangible user value, not just software that passes automated tests.
• Mentor and coach peers through 1:1s, technical reviews, and hiring panels to foster technical growth and career development.
• Drive a culture of psychological safety and high performance by modeling accountability, transparency, and constructive feedback.
• Lead alignment on contentious technical decisions by clearly articulating the rationale behind ambiguous or high-stakes choices.
• Build new systems on a modern Node.js/TypeScript/GCP stack with no legacy debt, enabling clean, scalable, and maintainable codebases.
• Leverage production-grade AI platforms including OpenAI, Langfuse, and Vertex AI to develop features that directly impact patient care and provider workflows.
• Influence both the product roadmap and the company’s technical direction with direct input at leadership tables.
• Own outcomes that are visibly connected to customer satisfaction and revenue generation across the AI-powered digital pharmacy platform.

🎯 Requirements

• Proven track record of building complex systems from scratch with measurable impact
• Experience architecting multi-component systems and producing technical design documents reviewed by peers
• Working knowledge of AI/ML concepts including RAG, function calling, and evaluation frameworks
• Demonstrated ability to lead engineering projects across teams and manage cross-functional dependencies
• Strong mentorship experience with a focus on technical growth and coaching peers
• Deep understanding of modern web stacks (Node.js, TypeScript) and cloud platforms (GCP)

🏖️ Benefits

• Hands-on access to cutting-edge AI tools including OpenAI, Langfuse, and Vertex AI
• Opportunity to build on a modern Node.js/TypeScript/GCP stack with no legacy debt
• Significant equity stake in the company as an early team member
• High agency to influence both product roadmap and technical direction

Skills & Technologies

TypeScript

Node.js

GCP

Senior

Onsite

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Foundation Healthcare, LLC

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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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