Business Operations Manager

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.

We're 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. We're looking for curious, ambitious folks who want to help solve healthcare's hardest problems - for our patients, our partners, and each other.

The Role

Foundation Health is building AI-native pharmacy infrastructure, used by health systems, consumer health brands and pharma manufacturers. We're ~70 people, Series A, and growing quickly across the UK and US — and the operational engine behind the product needs to grow just as fast.

That's where you come in. You'll be the right hand to our BizOps Director, working closely with our COO and with genuine visibility across senior leadership — the work you do here gets seen, used, and built on. You'll pick up the projects that don't fit neatly into any one team and run them from problem framing through to done, and you'll help shape the roadmap for what we take on next, not just deliver what's already on it.

This is a generalist role in the truest sense. We're not looking for someone who's done one thing deeply — we're looking for someone who's done lots of things well, and can pick up whatever comes next. You'll also be working with AI at a depth most companies can't offer: it's the core of what we build and how we work, not something bolted on. And as we scale, this role scales with you — the scope is genuinely yours to grow.

What You'll Be Doing

No two weeks here look the same. Day to day could involve any of the below — and that variety is a big part of what makes the role interesting:

• Strategic projects — taking a loosely-framed problem, structuring it, doing the analysis, and driving it to implementation — while feeding into the roadmap for where we go next.

• Procurement & vendor management — sourcing, negotiating with, and managing the tools and vendors that keep the company running — from helpdesk platforms to AI tooling.

• Contracts & legal — supporting responses to RFIs, RFPs and bids from major US health systems, reviewing agreements, and getting comfortable in the commercial detail.

• Pricing — understanding what our solutions cost to deliver and modelling what we should sell them at. We’ve built a tiered, usage-based pricing structure from the cost-of-goods up — you’ll help evolve it as the product grows.

• Commercial & partnerships — supporting sales, client onboarding, and building the collateral and internal tools that help the commercial team move faster.

• Cross-functional work — partnering with sales, engineering, CX, product, and design to get things over the line.

• InfoSec & compliance — we operate in a HIPAA-regulated environment with a SOC 2 posture and an active certification programme. You’ll help run controls, policies and third-party risk assessments. You don’t need to be a security specialist, but you should bring a methodology and framework mindset.

Who We're Looking For

• 3+ years in a technology, AI, data, or engineering-focused consulting environment. High-performing senior consultants ready to step up, and managers who want more scope than a big firm will give them, are exactly the sweet spot.

• A genuinely broad project history. You’ve moved between delivery, business analysis, product, engineering-adjacent work, maybe bids and commercials — rather than specialising in a single service line.

• High agency. You take a brief, lead it, and go further than asked — you don’t wait for instructions.

• Someone who runs at a challenge, not around it. You’ll regularly be handed problems you’ve never seen before, and your first instinct is to jump in and figure them out.

• Real, day-to-day AI adoption. Not just slides — we want to hear how you use AI to research, organise, and build, and what you’ve automated or made outside of work.

• Comfort with pace and ambiguity. We’re a startup: priorities shift, and the role will grow with the company.

• Sector agnostic — whether your projects were in banking, insurance, government, healthcare, or anything else. Experience in regulated industries helps; healthcare exposure is a plus, never a requirement.