Senior Backend Software Engineer

🕒 August 7

🏄 California, New York, +1 more states – Remote

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💵 $182.8k - $278.5k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 10%

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Headway

501 - 1000 employees

Founded 2019

🏥 Healthcare

🏪 Marketplace

☁️ SaaS

💰 $100M Series D - Headway on 2024-07

Healthcare • Marketplace • SaaS

Headway is a healthcare technology company (Therapymatch, Inc. ) that operates an insurance-native marketplace connecting people with licensed mental health providers — therapists and psychiatrists — for in-person and online care. Headway matches users with providers by specialty, location, and insurance coverage, handles insurance verification and billing, and offers tools for providers (provider portal and an insurance-native EHR) to reduce administrative burden. The platform partners with 100+ insurance plans, supports many languages, and emphasizes affordable, in-network mental health care.

📋 Description

• Design and build systems for storing and managing clinical data, including treatment plans, progress notes, patient history, and AI-powered clinical intelligence • Build and scale insurance billing systems that estimate and file claims for major insurance payers • Develop backend services for personalized care recommendations, health tracking, longitudinal data views, and therapist discovery experiences • Build ledger systems ensuring accurate payment to more than 70,000 providers, with idempotency and strict consistency • Define solutions for ambiguous problems and deliver production software • Make technical decisions optimized for maintainability and scale • Improve engineering velocity through tooling, automation, and reusable patterns • Mentor engineers through design discussions and code reviews • Collaborate across teams and communicate through Slack, design documents, and meetings • Apply AI and LLMs to code generation, operational automation, and developer tooling responsibly in healthcare • Participate in live coding, technical, and non-technical interviews as part of the hiring process

🎯 Requirements

• Experience turning ambiguous problems into shipped software • Ability to define solutions, involve the right cross-functional partners, and adapt to changing priorities • Technical decision-making focused on maintainability and scalability • Ability to improve engineering velocity through tooling, automation, and engineering patterns • Experience mentoring engineers through design discussions and code reviews • Ability to deliver working solutions quickly and iterate based on feedback • Ability to learn complex healthcare domains, payer rules, regulations, and exceptions quickly • Clear and concise communication in Slack threads, design documents, and cross-team meetings • Experience experimenting with LLMs in code generation, operational automation, or developer tooling • Builder’s mindset regarding responsible AI automation in healthcare • Proficiency with Python and TypeScript • Experience with Postgres, Redis, Snowflake, AWS, Temporal, Datadog, Sentry, or PagerDuty

🏖️ Benefits

• Competitive equity package • Medical, dental, and vision coverage • HSA/FSA • 401(k) • Carrot Fertility reimbursement • 16-week parental leave • Therapy reimbursement • Professional development budget • 13 holidays • Full week off in December • Flexible PTO

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