Backed by USV.
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.
What they're looking for
- 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
More about this 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. Join us as we redefine what’s possible in specialty care.
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...
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