Forward Deployed Engineer, Care Operations

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

This role sits at the intersection of engineering and operations. As Leap’s Forward Deployed Engineer on the Care Operations team, you will own the technical infrastructure that activates new members and moves them through the funnel from deal close to first infusion. You’re not supporting a system someone else built. You’re building the system.

The foundation exists but needs to be rebuilt properly. You’ll inherit a set of workflows, integrations, and data pipelines across a series of internal and external tools, assess what’s working, gut what isn’t, and architect something that scales. Half your time will be spent writing code and building automation; the other half will be spent in the operational reality of the team: diagnosing where members get stuck, redesigning processes, and making sure the tools you build actually solve the right problems.

This is an ownership role. There is no hand-off queue, no ticket backlog managed by someone else, and no layer between you and the outcomes. When member activation stalls, you’ll know why and you’ll fix it. You’ll report directly to the Head of Member Ops. and Strategy and work closely with Clinical Ops, Member Growth, and Client Success.

If you’ve spent time in ops-heavy or process-engineering environments and found yourself wishing you could just build the tool rather than submit a request for it, this role was designed for you.

Key Responsibilities

Member Activation & Funnel Infrastructure

• Own the technical systems that move members from “New” to “Scheduled” and “Infused”, including the automations, integrations, and workflows that drive each transition.
• Identify funnel drop-off points through data and direct observation; build the fixes, not just the recommendations.
• Design and maintain the member activation pipeline, ensuring every new employer deal translates into a structured, repeatable onboarding flow.
• Build tooling that surfaces the right information to the right person at the right time, reducing manual work and improving response rates.

Systems Integration & Tooling

• Build and maintain integrations across all of our internal and external tooling as the stack evolves.
• Write production-grade code and automation (Python, SQL, APIs, webhooks, low-code tools) that the Care Ops team depends on daily.
• Leverage AI tooling, including LLMs, to build faster, automate intelligently, and solve problems that traditional scripting can’t.
• Own data quality and system reliability; when something breaks or drifts, you catch it and fix it before it affects members.

Operational Process Design

• Translate operational problems into technical solutions, and technical constraints into process design that the team can actually execute.
• Document workflows, system architecture, and integration logic so the team isn’t dependent on tribal knowledge.
• Work directly with Care Coordinators and clinical staff to understand where manual effort is highest and where automation will have the most impact.
• Contribute to sprint planning and roadmap prioritization; you have a point of view on what to build next and why.

Analytics & Operational Visibility

• Build dashboards and reporting that give the Care Ops team real-time visibility into funnel performance, outreach quality, and activation rates.
• Design and maintain computed metrics (e.g., time-to-schedule, outreach cadence health, case aging) that surface actionable signals rather than just raw data.
• Partner with Member Growth and Client Success to ensure commercial and clinical metrics are aligned and trustworthy.

Qualifications

Required

• Technically autonomous, you build your own tools, write production code, and lean heavily on AI to move faster than a team three times your size.
• Fluent across the full technical stack this role requires: Python or equivalent scripting, SQL, REST APIs and webhooks, and low-code/no-code automation platforms.
• Operationally literate, you understand process design, can map a workflow, and know the difference between a tool that technically works and one that the team will use.
• Strong systems thinker: you build for scale from day one and leave things more structured than you found them.
• AI-native in how you work, you use LLMs as a force multiplier for building, debugging, and problem-solving, not as a novelty.
• Clear communicator: you can explain a technical decision to a non-technical teammate and an operational tradeoff to an engineer.
• High ownership orientation, you don’t wait to be told what to fix, and you don’t consider something done until it’s working in production.

Preferred

• Prior experience in ops-heavy or process-engineering environments, you’ve lived inside a workflow before you automated it.
• Experience working in early-stage startups where the infrastructure you’re inheriting is uneven and the roadmap is yours to shape.
• Familiarity with healthcare operations, specialty pharmacy, or care coordination workflows.
• Experience with CRM platforms (HubSpot preferred) and patient-facing systems.
• Comfort with multi-agent AI architectures or Claude Code / LLM-assisted development workflows.

What You’ll Own in Your First 6 Months

• A rebuilt, reliable member activation pipeline, from deal close through first infusion, with clear handoffs, reduced manual steps, and measurable throughput improvement.
• Integrations across core systems that are documented, monitored, and trusted by the team.
• A reduction in manual ops work through targeted automation, with the team spending less time on data entry and more time on members.
• Operational dashboards that give the Care Ops team real-time visibility into activation rates, funnel velocity, and outreach performance.
• A foundation that can scale as Leap adds employer clients and grows the member population.

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.