Senior Backend Software Engineer

Job Overview

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. Headway’s mission is to fix this by building a new mental healthcare system everyone can access.

We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that. But we're going further.

Job Description

Over 90,000 providers across all 50 states run their practice on our software, serving over 2. 6 million patients.

We aren't just a billing layer; we are becoming the platform where care actually happens. We're a Series D company with $325M+ in funding (a16z, Accel, Spark Capital, etc. ), looking for exceptional people to help us achieve this mission.

We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better. The Work Backend at Headway involves high-stakes logic.

You’re building a reliable abstraction layer over a fragmented healthcare system. What you could work on: The Modern AI-enabled Clinical System: Help design and build the systems that store and manage clinical data.

This isn't just a database; it's a high-integrity system for treatment plans, progress notes, patient history, and AI-powered clinical intelligence - from session transcript-to-note generation to automated summaries that give providers their time back.

You’ll scale the systems that handle the unique, often nonsensical rules of every major insurance payer to accurately estimate and file claims hundreds of thousands of times per month. Patient-First Infrastructure: We’re moving toward a patient-centric model.

Key Responsibilities

• Headway’s mission is to fix this by building a new mental healthcare system everyone can access.
• We are building the best tools for therapists to run their entire practice, reimagining the experience of finding a therapist, and investing in the platform foundations to enable this at scale, and building much of it with AI.
• You’re building a reliable abstraction layer over a fragmented healthcare system.
• What you could work on: The Modern AI-enabled Clinical System: Help design and build the systems that store and manage clinical data.
• Build the backend services that power personalized care recommendations, health tracking, and longitudinal data views as well as innovative user experiences to help patients find a therapist that meets their needs Financial Integrity: Work on the ledger systems that ensure 70,000+ providers get paid accurately.
• This requires building for idempotency and strict consistency in a multi-party marketplace.
• You don't need prior healthcare experience, but you need to be someone who dives into unfamiliar domains and builds a working mental model fast.
• You bring a builder's mindset: what can we automate, what should stay human, and how do we ship it responsibly in healthcare?

Required Skills and Qualifications

• We are building the best tools for therapists to run their entire practice, reimagining the experience of finding a therapist, and investing in the platform foundations to enable this at scale, and building much of it with AI.
• We want your time here to be the most meaningful experience of your career.
• Build the backend services that power personalized care recommendations, health tracking, and longitudinal data views as well as innovative user experiences to help patients find a therapist that meets their needs Financial Integrity: Work on the ledger systems that ensure 70,000+ providers get paid accurately.
• You make sure knowledge gets shared across the team, not siloed in one person's head.
• You don't need prior healthcare experience, but you need to be someone who dives into unfamiliar domains and builds a working mental model fast.
• Motivated by Impact: You want your engineering skills applied to problems that matter.
• #LI-BM1 We believe a team's strength is in its people, and we cannot achieve this mission without a team that reflects the diversity of this problem – across race, ethnicity, gender, sexuality, age, national origin, religion, family status, disability, military status, and experience.

Benefits and Perks

• 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.
• The Insurance Billing Engine: We apply AI pragmatically ( blog ) to reduce administrative burdens for providers and handle the burden of traditional billing workflows.
• You’ll scale the systems that handle the unique, often nonsensical rules of every major insurance payer to accurately estimate and file claims hundreds of thousands of times per month.
• We'll send over all of the details, including specifics on employee equity, and congratulatory messages from excited future team members!
• Compensation & Benefits Salary: $182,750 - $278,500 base salary plus a competitive equity package.

Work Location and Schedule

This role is listed as Remote USA with location information shown as Remote USA. The employment type is Full Time.

About the Company

Headway.co is the organization connected with this listing. USA Jobs Today displays this opportunity for job discovery only, so applicants should verify company details, application instructions, and eligibility on the official employer website.