Founding Software Engineer

Leap Health, Inc.; New York (NY); On-site; USD 140,000 - 210,000; Full time

Job summary

Leap Health, Inc. is seeking a Founding Software Engineer to build AI and automation systems powering clinical and business operations.

You’ll own large surface areas across product, data, infrastructure, and automation, collaborating with Clinical Operations and leadership to identify high-value automation opportunities and ship systems that improve care delivery and internal efficiency. We value engineers who have real input into what we build, not just how.

Qualifications

• 1+ year building AI systems in production (LLM integrations, agents, AI-powered workflows).
• TypeScript-native, full-stack generalist across frontend, backend, data and infra.
• Experience shipping fast with high quality code, UI and docs, even without a designer/QA.
• Early employee/founder mindset with ability to operate without a detailed roadmap.
• Heavily use AI in your own development workflow.

Responsibilities

• Build LLM agents and automation pipelines replacing manual workflows.
• Design AI-driven care orchestration across patients, providers, pharmacies and teams.
• Own internal and external products used by clinical teams, growth teams, partners and customers.
• Build and maintain shared services, identity/auth, and HIPAA-compliant data architecture.

Skills

AI production systems

TypeScript full-stack

ship high-quality code

early employee / founder mindset

AI in development workflow

Tools

BigQuery

ETL

Salesforce

HubSpot

Job description

About Leap

Leap is one of the fastest-growing benefits solutions and a category-defining pioneer in employer specialty pharmacy. We are reshaping how life-changing therapies are delivered and financed, ensuring patients get the treatment they need while employers finally get a fair deal.

Specialty drugs and infusions represent nearly 10% of all healthcare spend and are the fastest-growing cost category for employers. Leap tackles this challenge with a novel approach: eliminating hidden markups, expanding access to high-quality infusion providers, and bringing clarity and fairness to how therapies are priced and paid for.

We’re proud to partner with numerous Fortune 500 companies and leading TPAs. Each patient we serve creates immediate ROI: lower costs, improved access, and better care. Join us as we redefine what’s possible in specialty care.

About the Role

As a Founding Software Engineer, you will build the AI and automation systems that power Leap’s clinical and business operations. You will own large surface areas across product, data, infrastructure, and automation, helping scale the company’s operational platform as the business grows. This role partners closely with Clinical Operations, Business Operations, and company leadership to identify high-value automation opportunities and ship systems that improve care delivery and internal efficiency. Engineers here have real input into what we build, not just how.

Key Responsibilities

AI and Automation

• Build LLM agents and automation pipelines that replace manual operational workflows
• Design and ship AI-driven care orchestration systems that coordinate treatment journeys across patients, providers, pharmacies, and internal teams
• Identify high-value automation opportunities by working directly with clinical and business operations teams

Product Development

• Own and ship both internal and external products used by clinical teams, growth teams, partners, and customers
• Talk to users (often internal teams), instrument what you ship, and use the data to decide what to build next

Platform and Infrastructure

• Build and maintain shared services, identity/auth, and HIPAA-compliant data architecture
• Ship integrations across CRM and external healthcare systems
• Design PHI-safe LLM pipelines, agent orchestration frameworks, evaluation systems, and MCP integrations

Qualifications

Required

• 1+ years of experience building with AI systems in production (LLM integrations, agents, AI-powered workflows)
• TypeScript-native, full-stack generalist comfortable across frontend, backend, data, and infrastructure
• Track record of shipping fast with high quality - your code, UI, and documentation hold up without a designer or QA team
• Have been an early employee, a solo tech lead, or a founder - you know how to work without a detailed roadmap
• Use AI heavily in your own development workflow

Preferred

• Healthcare or HIPAA experience, data pipelines (BigQuery, ETL), or CRM integrations (Salesforce, HubSpot)

At Leap, we’re building an outlier company with real impact — and that takes focus, energy, and commitment. If that excites you, we’d love to hear from you. Leap is an equal opportunity employer and welcomes applicants from all backgrounds. We’re committed to building a team that reflects a diversity of perspectives, experiences, and identities.