Fullstack Engineer

Were looking for a Full-Stack Engineer in New York City (3-4 days/week in office) who thrives in a startup environment and knows how to ship.

On a daily basis, you will build end-to-end workflows, take them to production, and solve real world problems across an out-sized scale. As an early technical steward, you will raise the bar for code quality and decisionmaking, setting patterns that cement a worldclass engineering culture as we scale. While the company 10xs, your scope and ownership will grow just as fastbuilding the tools, mental models, and platforms that let both you and Big Leap Health accelerate exponentially.

Youll work across the stack, from database schemas to UI components, and take full ownership of features from design through production deployment. The ideal candidate is someone whose built things end to end. Youve worked at high-growth startups, kicked off your own side projects, or maybe indie hacked for a while. You know how to take high level requirements and run with them without getting lost in over-planning or scope creep.

Most importantly, you care about mental healthcare in our country. You don't need to be on a mission from day one, but you do need to believe that democratizing access to breakthrough treatments matters. You're a generalist software engineer who is eager to take ownership, inclined to move quickly, and hungry to ship high-impact software that makes a real difference.

Technologies We Use

Different languages, frameworks, and databases, including React, Vue, Typescript, Node.js, PostgreSQL

Industry-standard infrastructure, including Docker, AWS, Firebase, and Google Cloud

What We Value

Extreme empathy. Our customers aren't tech companiesthey're clinicians and practice managers working in the real world. Understanding their pain points (not vanity metrics) is critical to building the right solutions.
End-to-end ownership. You've taken projects from ideation to production. You don't wait for perfect specsyou figure it out, ship it, and iterate based on real feedback.
An infinite learner. Someone who is relentless in their curiosity.
Ultimate accountability. You give and receive rapid feedback, learn as a team, and hold yourself to a high bar for quality.
Unafraid of failure. You take risks, see failure as learning, and move fast without being paralyzed by perfection.
Partner-obsessed. Someone who deeply cares about delighting our customers and solving real pain points, not vanity metrics.

Ideal candidates

Upload a candidate's resume here to see how well they fit the requirements.

Seniority

Mid to senior level, leaning towards senior for first hire

4 - 7 years of experience in professional software engineering

Work experience

VC-backed digital health or health tech startup experience (companies dealing with insurance-covered care, not health & wellness)

Forward-facing or user-facing engineering roles (not just backend in isolation)

Expereince in smaller companies ideal (10-100 people), unless joined early and scaled with the company

Education

CS or similar degree from a strong university

Hard skills

Strong proficiency in modern full-stack web development (React, Vue, TypeScript, Node.js)

Comfortable working across the entire stack (database schemas to UI components)

Built integrations with third-party APIs and complex data systems. Experience with healthcare-specific integrations is a plus (EHRs, claims systems, insurance verification)

Soft skills

Extreme empathy for non-technical users (clinicians and practice managers)

Maker mindset with bias toward shipping and iteration

Miscellaneous

Understands basics of healthcare (insurance, provider workflows) to avoid re-education on fundamentals

Traits to avoid

10+ years at legacy health systems or large EMR vendors (e.g., Epic)

Purely backend-focused engineers who don't want customer/product exposure