Founding Software Engineer — AI & Care Automation

leap; New York (NY); On-site; USD 180,000 - 240,000; Full time

Job summary

Leap is a fast-growing benefits solutions company building AI-powered automation for clinical and business operations. As a Founding Software Engineer, you will own large surface areas across product, data, infrastructure, and automation to scale Leap’s operational platform as the business grows.

You’ll collaborate with Clinical Operations, Business Operations, and leadership to identify high-value automation opportunities and ship systems that improve care delivery and internal efficiency.

Qualifications

• 1+ years of experience building 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 docs 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.
• Healthcare or HIPAA experience, data pipelines (BigQuery, ETL), or CRM integrations (Salesforce, HubSpot) are a plus.

Responsibilities

• 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.
• 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.
• 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.

Skills

AI systems in production

TypeScript

Full-stack

Early employee/solo tech lead

AI-driven development workflow

Tools

Salesforce

HubSpot

BigQuery

ETL

Job description

Leap is a fast-growing benefits solutions company building AI-powered automation for clinical and business operations. As a Founding Software Engineer, you will own large surface areas across product, data, infrastructure, and automation to scale Leap’s operational platform as the business grows.

You’ll collaborate with Clinical Operations, Business Operations, and leadership to identify high-value automation opportunities and ship systems that improve care delivery and internal efficiency.