Fullstack Engineer
Location: New York, NY (Hybrid, 3-4 days/week in office)
Type: Full-time
Salary: $160K – $220K
Equity: 0.5% – 1.0%
Reports to: PJ Santoro, CTO
About Big Leap Health
Big Leap Health is democratizing access to breakthrough mental health treatments. We connect patients with vetted clinics offering therapies such as Spravato, TMS, and more, all covered by insurance. Our mission is to make cutting-edge mental health treatments accessible, improving resilience, empathy, and well-being for all.
Founded in 2025, with a team of 6 and $10M in total funding, we are growing rapidly and building technology to streamline clinic operations and patient access to insurance-covered treatments.
About the Role
We are looking for a Full-Stack Engineer in New York City who thrives in a startup environment and knows how to ship. You will:
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Build end-to-end workflows and take them to production.
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Solve real-world problems across a rapidly scaling platform.
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Own features from design through production deployment.
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Influence the engineering culture, setting patterns for code quality and decision-making.
This is an early, high-impact role where your ownership, creativity, and technical skill will directly shape the company’s future.
What You’ll Do
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Design, develop, and ship scalable full-stack applications.
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Collaborate with product and operations teams to understand user needs and deliver impactful solutions.
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Maintain and improve code quality, scalability, and performance across the stack.
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Take high-level requirements and translate them into working software without getting lost in over-planning.
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Work across React, Vue, TypeScript, Node.js, PostgreSQL, Docker, AWS, Firebase, and GCP.
What We Value
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Extreme Empathy: Understand clinician and patient pain points, not just vanity metrics.
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End-to-End Ownership: Ship features from ideation to production; iterate quickly.
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Infinite Learning: Curious, self-motivated, and always improving.
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Ultimate Accountability: Accept and provide rapid feedback; uphold high-quality standards.
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Risk-Taking: Move fast, fail, learn, and improve.
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Partner-Obsessed: Solve real pain points for our customers.
Qualifications
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4–7 years of professional software engineering experience.
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Proven experience building end-to-end applications in a high-growth environment.
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Strong experience with:
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Frontend: React, Vue, TypeScript
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Backend: Node.js, PostgreSQL
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Infrastructure: Docker, AWS, GCP, Firebase
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Comfortable taking ownership and making decisions in a fast-paced startup environment.
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Passion for improving access to mental healthcare is a plus.
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Must be authorized to work in the U.S. (no visa sponsorship available).
Interview Process
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Intro Call with PJ Santoro, CTO (15–30 mins)
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Founder Interview with Yakov Kagan, CEO (30 mins)
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Thought Exercise (Take Home) – reviewed in 2–4 days
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Onsite Team Meeting
Why Join Us
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Be part of a mission-driven startup improving mental health accessibility.
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Work closely with experienced founders and industry leaders.
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Have a direct impact on product, technology, and company culture.
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Competitive salary and equity in an early-stage startup.