Product Manager

Department: Product

Location: United States - Remote

Employment Type: FullTime

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.

Were 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. Were looking for curious, ambitious folks who want to help solve healthcares 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 youre actually good at - figuring things out - is the thing you get to do least.

This role is the opposite of that.

Youd 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, youll be surrounded by people worth learning from: an ex-DeepMind VP of Engineering, and an experienced Product Director with deep domain expertise whos seen this space from every angle.

Real ownership, with real people to sharpen against. That combination is rarer than it should be.

What youll actually do:

Honestly? Things we cant fully explain how to do - because nobodys done them yet. Thats 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 isnt a feature we bolted on, its 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; youll 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 wont do is hold your hand. The problems arrive ambiguous, theres 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 dont need to have done this exact job before. You need to be the person who, given a problem no ones solved and no instructions, just starts solving it - and enjoys it.

• High-agency owners. You dont wait to be told, you dont need work scoped for you, and youre at your best when something is genuinely yours - your call, your build, your consequences.

• People who are already AI-obsessed. You dont 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 youve rigged up - and youre learning in your own time because you cant help it. Thats 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, youll do well here.

• The endlessly curious. Youre the person whos always got ideas, who reads about things outside your lane, whod 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, youre our kind of person.