Full-Stack Engineer

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$/yr - $/yr

Big Leap Health is democratizing access to breakthrough mental health treatments. We connect people with vetted clinics that provide treatments such as Spravato, TMS & more covered by insurance. At Big Leap Health, we believe breakthrough mental health treatments are a pillar in the journey toward achieving our fullest potential but are often too expensive and inaccessible for most. We focus on making cutting‑edge treatments like Spravato, TMS, and other innovative therapies accessible to all through insurance coverage.

These aren't just treatments; they're gateways to resilience, empathy, hope, and strength. We’re building technology and tools to help clinics offer these treatments more easily, while enabling patients to use their insurance benefits to receive these life‑changing treatments. We’ve raised from top VCs and angels, are partnering with dozens of clinic operators, and are growing rapidly.

We’re 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 at an outsized scale. As an early technical steward, you will raise the bar for code quality and decision‑making, setting patterns that cement a world‑class engineering culture as we scale.

While the company 10×s, your scope and ownership will grow just as fast—building the tools, mental models, and platforms that let both you and Big Leap Health accelerate exponentially. You’ll 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 work ends to end.

You’ve worked at high‑growth startups, kicked off your own side projects, or perhaps 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. You’re a generalist software engineer eager to take ownership, inclined to move quickly, and hungry to ship high‑impact software.

• React, Vue, Typescript, Node.js, PostgreSQL
• Docker, AWS, Firebase, Google Cloud

• An infinite learner. Someone who is relentless in their curiosity.
• Partner‑obsessed. Someone who deeply cares about delighting our customers and solving real pain points, not vanity metrics.
• Ultimate accountability while learning as a team, and both giving and receiving rapid feedback.
• Extreme empathy. Our customers are not tech companies. They are clinicians and practice managers who live and work in the real world. Empathy is critical to arriving at correct solutions.
• Unafraid of failure. You take risks. You see failure as an opportunity to learn, grow, and be better the next time.

• Strong coding skills with demonstrated proficiency in modern programming languages.
• Strong engineering prowess, developed at start‑ups.
• Familiarity with storage and data processing systems, cloud infrastructure, and other technical tools.
• Strong written and verbal communication skills and ability to iterate quickly with teammates, incorporating feedback and holding a high bar for quality.

• Building an AI‑enabled product for an industry rapidly growing and evolving.
• Constantly talking to and visiting customers in the field.
• Working in person with some of the most ambitious people in NYC.
• Attempting to build a generational company, and the intensity required to do so.

• 4‑7 years of experience building and shipping modern full‑stack web applications.
• Experience working at a VC‑backed digital healthcare startup with the ability to move quickly, adapt priorities, and focus on outcomes over process.
• Startup experience is preferred.
• A maker mindset. You’ve built side projects, indie apps, or internal tools from scratch and seen them through to launch.
• Excited to work in person with a small, collaborative team in NYC.

• Work with an ambitious team building meaningful technology that is…