---
title: 'Founding Software Engineer at Leap'
canonical: 'https://feeny.ai/job/founding-software-engineer-leap-united-states-5zp205ahyvks'
type: 'job'
last_seen: '2026-09-08'
---

# Founding Software Engineer at Leap

- **Company:** Leap
- **Location:** United States
- **Compensation:** $200k–$250k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-03-14
- **Last confirmed live:** 2026-09-08
- **Apply:** https://jobs.ashbyhq.com/leap/70e11698-f1dc-456a-8b87-5152d3edc0e6/application

**Skills:** AI Systems, LLM Integrations, Agent-Based Systems, TypeScript, Full-Stack Development, Frontend Development, Backend Development, Data Architecture, Infrastructure, CRM Integrations, HIPAA Compliance, PHI-Safe Pipelines, MCP Integrations, Healthcare Domain Knowledge, HIPAA Experience, BigQuery, ETL, Salesforce, HubSpot

> The Senior Software Engineer builds AI and automation systems powering clinical and business operations at Leap. Responsibilities include developing LLM agents, orchestrating care workflows, and maintaining HIPAA-compliant infrastructure to improve care delivery and internal efficiency.

## 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.

## About Leap

## Company Overview
- **One-liner**: Leap is a transparent specialty infusion benefit solution that enables employers to reduce specialty drug costs by up to 60% while delivering high-quality, convenient infusion care to patients in their homes or nearby.
- **Entity Type**: Private (Early Stage)
- **Headquarters**: New York, New York, United States
- **Founded**: 2023
- **Founders**: Hani Elias (Co-founder & CEO), Amir (Co-founder), Rob LaHayne (Co-founder & Chief Commercial Officer), Naguib (Co-founder)

## Core Business
- **Primary industry/industries**: Healthcare (Specialty Infusion, Pharmacy Benefits, Employer Health Benefits)
- **Target customers**: B2B — Large employers, health plans, brokers, third-party administrators (TPAs), and pharmacy benefit managers (PBMs)
- **Mission or purpose statement**: "To make life-changing treatments accessible without unnecessary cost or complexity."

## Products & Services
- **Transparent Specialty Infusion Benefit Solution**: A platform that replaces opaque drug markups (which can exceed 400%) with a transparent, patient-first care model. Services include home-based infusion therapy, evening and weekend appointments, and direct integration with health plans. [leaphealth.com](https://www.leaphealth.com/about)
- **Employer Cost Savings**: A complimentary evaluation of claims data to provide accurate savings estimates, delivering up to 60% savings on specialty drug spend. [leaphealth.com](https://www.leaphealth.com/about)
- **Patient Care Coordination**: Clinical support and care coordination to ensure patients receive life-sustaining infusion therapies without unnecessary travel, lost wages, or missed family moments. [leaphealth.com](https://www.leaphealth.com/about)

## Market Standing
- **Valuation/Market Cap**: Not publicly available (private company)
- **Key Metric**: Total Funding — $1.0M (Venture Round, March 2024) [cbinsights.com](https://www.cbinsights.com/company/leap-health)
- **Notable Investors/Partners**: Not publicly disclosed; the company has raised $1M in funding. [cbinsights.com](https://www.cbinsights.com/company/leap-health)
- **Growth Signals**:
  - **Headcount Growth**: 32 employees as of mid-2026, representing +310% year-over-year growth. [linkedin.com](https://www.linkedin.com/company/leap-health-inc)
  - **Revenue Growth**: Leap posted "25x growth" in a February 2026 press release. [cbinsights.com](https://www.cbinsights.com/company/leap-health)
  - **Patient NPS**: Industry-leading 92 Net Promoter Score. [leaphealth.com](https://www.leaphealth.com/about)
  - **Executive Expansion**: Appointed Hani Elias as CEO in early 2026. [cbinsights.com](https://www.cbinsights.com/company/leap-health)
  - **Job Posting Growth**: Yearly job postings up +333.3%. [linkedin.com](https://www.linkedin.com/company/leap-health-inc)

## Competitive Advantages
- **Transparent Pricing Model**: The only specialty infusion benefit solution that eliminates drug markups entirely, replacing them with a transparent, patient-first model. This is a key differentiator in an industry known for opaque pricing. [leaphealth.com](https://www.leaphealth.com/about)
- **Patient-Centric Care**: Offers home-based infusion with evening and weekend appointments, directly addressing the biggest pain points for patients (travel, lost wages, time away from family). [leaphealth.com](https://www.leaphealth.com/about)
- **Proven Outcomes**: Delivers up to 60% savings for employers while achieving a 92 NPS from patients — proving that lower costs and better care are not mutually exclusive. [leaphealth.com](https://www.leaphealth.com/about)
- **Founding Team Expertise**: Founders come from across healthcare and technology, bringing deep domain knowledge of the systemic problems in specialty infusion care. [leaphealth.com](https://www.leaphealth.com/about)

## Strategic Focus
- **Scaling the Transparent Model**: Expanding the reach of their transparent infusion benefit to more large employers and health plans across the U.S.
- **Building the Team**: Actively hiring across engineering, sales, clinical operations, and marketing to support rapid growth (13 active job postings as of mid-2026). [linkedin.com](https://www.linkedin.com/company/leap-health-inc)
- **Technology & Infrastructure**: Investing in data engineering, pharmacy technology, and forward-deployed engineering to streamline operations and scale the platform. [builtin.com](https://builtin.com/company/leap-leaphealth-com)
- **Geographic Expansion**: Growing presence beyond NYC hub, with employees already in Canada, India, and Switzerland. [linkedin.com](https://www.linkedin.com/company/leap-health-inc)

## Why Work Here
- **Mission-Driven Work**: The company is explicitly focused on being "on the right side of healthcare" — reducing waste, streamlining access, and connecting patients to life-changing therapies. [leaphealth.com](https://www.leaphealth.com/careers)
- **Remote-First Culture**: Leap is a remote-first, distributed organization with a central hub in New York City. They invest in asynchronous workflows and tools for seamless remote work. [leaphealth.com](https://www.leaphealth.com/careers)
- **NYC Hub**: A Manhattan office (1 Rockefeller Plaza) serves as a collaborative home base for local team members and structured company-wide gatherings. [leaphealth.com](https://www.leaphealth.com/careers)
- **Benefits & Perks**:
  - Competitive, market-benchmarked salary with equity ownership. [leaphealth.com](https://www.leaphealth.com/careers)
  - Comprehensive medical, dental, and vision insurance. [leaphealth.com](https://www.leaphealth.com/careers)
  - Access to One Medical for primary care. [leaphealth.com](https://www.leaphealth.com/careers)
  - Up to $1,000 annual professional development reimbursement. [leaphealth.com](https://www.leaphealth.com/careers)
  - Access to Talkspace for mental health support. [leaphealth.com](https://www.leaphealth.com/careers)
  - Access to Kindbody for fertility and family-building support. [leaphealth.com](https://www.leaphealth.com/careers)
  - 401(k) plan. [leaphealth.com](https://www.leaphealth.com/careers)
  - Flexible PTO and generous paid parental leave. [leaphealth.com](https://www.leaphealth.com/careers)
- **Engineering Culture**: Values include "Move fast," "Find a way," and "Raise the bar" — suggesting a high-velocity, problem-solving environment. [leaphealth.com](https://www.leaphealth.com/careers)
- **Growth Trajectory**: With 310% headcount growth, 25x revenue growth, and a young founding team, this is an early-stage opportunity with significant upside and impact.

## Sources
1. [leaphealth.com - About](https://www.leaphealth.com/about)
2. [leaphealth.com - Careers](https://www.leaphealth.com/careers)
3. [builtin.com - Leap Profile](https://builtin.com/company/leap-leaphealth-com)
4. [linkedin.com - Leap Health Inc](https://www.linkedin.com/company/leap-health-inc)
5. [cbinsights.com - Leap Health](https://www.cbinsights.com/company/leap-health)

## Other roles at Leap

- [Manager, Client Strategy & Operations](https://feeny.ai/job/manager-client-strategy-operations-leap-united-states-h1nehbsw7d4k) — United States
- [Clinical Strategy & Operations Manager](https://feeny.ai/job/clinical-strategy-operations-manager-leap-new-york-p2gt6bwzqw1e) — New York, NY
- [Director of Clinical Strategy & Operations](https://feeny.ai/job/director-of-clinical-strategy-operations-leap-new-york-ydpvknbcd7fh) — New York, NY
- [Director, Pricing and Channel Strategy](https://feeny.ai/job/director-pricing-and-channel-strategy-leap-united-states-rdxevta33a3w) — United States
- [Senior Director, Specialty Benefits Programs](https://feeny.ai/job/senior-director-specialty-benefits-programs-leap-united-states-hxk8bsghqsbs) — United States
- [Founding Enrollment Marketing Strategist](https://feeny.ai/job/founding-enrollment-marketing-strategist-leap-united-states-p5bhhzss07rj) — United States
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- [Care Operations Manager](https://feeny.ai/job/care-operations-manager-leap-united-states-nc8y8yd493jb) — United States
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- [Care Operations Associate](https://feeny.ai/job/care-operations-associate-leap-united-states-sa0kbzz0j0z4) — United States