Founding Software Engineer

About the role

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.

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

• 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)
• CRM integrations (Salesforce, HubSpot)

Compensation Range

$200K - $250K