Headway

Staff Software Engineer (Payer)

New York, NY · Staff+

Sponsorship not specified$30k-$50kDetected 43 days ago

TypeScriptPythonReactNext.jsFastAPICode ReviewPostgreSQLRedisSnowflakeAWSDatadogTemporalKafkaMachine LearningSparkLLMsCommunicationProblem SolvingMentoring

About the role

1 in 4 people in the US have a treatable mental health condition, but most providers don't accept insurance, making therapy too expensive for most people.
We started by solving the biggest barrier to care: insurance.

Responsibilities

Architect the LLM-powered systems that review clinical documentation at scale and deliver helpful, real-time feedback to providers.
Design the ML/LLM systems that spot patterns of inappropriate billing, over-utilization, and low-quality care across millions of appointments and claims.
Translate those signals into clear feedback for providers and transparent reporting for our insurance partners.
Help build the systems that systematically review every prescriber in our network against clinical quality standards - so we can measure, improve, and defend the quality of care Headway delivers.
Build ML systems that understand how complex a patient's needs are and match them to providers best suited to help - so every patient gets the right care and every provider operates at their best.
Lay the architectural foundations other teams will build on, and raise the whole group's engineering craft as it scales.
You pull engineers into design discussions without being asked.
Real feedback from therapists and patients is worth more than another round of design review.
Whether it's a Slack thread, a design doc, or a cross-team meeting, you communicate clearly and concisely.
The Mission: We reimburse your therapy and provide a professional development budget. We believe in what we're building.

Requirements

You know how to define the solution, pull in the right people across teams, and keep things moving when priorities shift.
Ships Fast, Iterates Faster: You can move from problem statement to working solution quickly.
You know that great engineering is wasted if you can't bring people along.
Initial screen: You'll connect with someone in recruiting so you can learn more about the team, Headway's mission and exciting growth, and we can get a better idea of your background.
You can move from problem statement to working solution quickly.

Skills

Cursor, Claude, Gemini, Eddy (our in-house cloud agent harness)
The admin work - credentialing, claims, payment reconciliation - is a nightmare.
Over 75,000 providers across all 50 states run their practice on our software, serving over 1 million patients.
Join us, and help change mental healthcare for the better.
Payers & Outcomes at Headway sits at the intersection of ML, clinical quality, and trust.
Champion how Headway evaluates and iterates on AI systems.

Compensation

$264,000 - $330,000 base salary plus a competitive equity package.

Benefits

Medical, dental, vision, HSA/FSA, 401(k), Carrot Fertility reimbursement, and 16-week parental leave.
Time Off: 13 holidays, a full week off in December, and flexible PTO.

Company info

We are hiring our Staff Engineering roles out of our 3 hubs - NYC, SF, and Seattle.
There is no onsite requirement, but engineers should be located in these regions.
There are offices in these 3 cities for anyone interested in in-office time.
After you apply to Headway, here are some details of what to expect during the interview process.
As part of this commitment, Headway will ensure that persons with disabilities are provided with reasonable accommodations.

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This listing is sourced directly from Headway's careers page and normalized into a canonical job model.