Leap
Founding Software Engineer
US (Remote) · Exec
Sponsorship not specifiedDetected 129 days ago
TypeScriptFull-Stack DevelopmentBigQueryData EngineeringLLMsAI OrchestrationComplianceHubSpotSalesforceCRMHIPAALeadership
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.
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
- 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
- Design PHI-safe LLM pipelines, agent orchestration frameworks, evaluation systems, and MCP integrations
Requirements
- 1+ years of experience building with AI systems in production (LLM integrations, agents, AI-powered workflows)
- Track record of shipping fast with high quality - your code, UI, and documentation hold up without a designer or QA team
- TypeScript-native, full-stack generalist comfortable across frontend, backend, data, and infrastructure
- 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)
Benefits
- Ship integrations across CRM and external healthcare systems
Company info
- 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.
- Own and ship both internal and external products used by clinical teams, growth teams, partners, and customers
This listing is sourced directly from Leap's careers page and normalized into a canonical job model.