New York City · Full-Stack Engineer · Digital Health

ABOUT BIG LEAP HEALTH

Big Leap Health is tackling one of the most persistent problems in mental healthcare: access. Their platform connects patients with vetted clinics offering insurance-covered treatments for treatment-resistant depression, including Spravato and TMS therapy. Alongside the patient-facing product, Big Leap builds the tools that help clinics deliver these treatments efficiently and at scale.

It is an early-stage company with a clear mission and a meaningful problem to solve, operating in a space where the right technology has the potential to significantly improve patient outcomes.

THE CHALLENGE

As an early-stage team, Big Leap needed a Full-Stack Engineer who could own features end to end, from database schema to UI to production deployment, while also helping to set code quality standards as one of the company’s first technical hires. The stack spans React, TypeScript, Node.js, PostgreSQL, Docker, AWS, and Google Cloud.

Beyond technical capability, the role required someone with a genuine maker mindset: a founder-adjacent engineer comfortable with ambiguity, capable of moving quickly, and motivated by the mission rather than the comfort of a large engineering organisation.

WHY AMIGOS?

Big Leap Health engaged us because of our track record placing engineers at early-stage, mission-driven startups. Finding the right engineer for a company at this stage is as much about judgment and character as it is about technical skills. Our approach to candidate assessment goes beyond the resume to understand how people operate in zero-to-one environments.

OUR APPROACH

We focused our search on engineers with prior startup experience and a demonstrable bias toward shipping: side projects, internal tools, products built independently. We looked for the combination of technical breadth and product instinct that early-stage full-stack roles demand, and matched against Big Leap’s in-person NYC culture and mission focus.

THE RESULT

We successfully placed a Full-Stack Engineer at Big Leap Health, adding engineering capacity to a team building genuinely important healthcare infrastructure. The placement supports Big Leap’s continued growth as they expand their network of clinics and improve access to mental health treatments for patients across the US.