Senior Backend Software Engineer

Headway
New York, San Francisco, Seattle
Workplace: OnsiteFull timeUSD 182,750 - 278,500 annuallyFunction: Software EngineeringSkills: ["Communication","Mentorship","Problem-solving","Ownership","Technical leadership"]

Build reliable backend systems that power clinical data intelligence, AI-enabled insurance billing, patient-first infrastructure, and ledger-grade financial integrity. Work across a high-stakes, fragmented healthcare domain to design high-integrity abstractions, scale complex payer rules, and ensure accurate multi-party payments. Collaborate with engineers and cross-functional partners while mentoring others through design discussions, code reviews, and maintainability-focused technical decisions.

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FursaFursa
Headway
Headway
1 year ago

Senior Backend Software Engineer

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Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 17 hours agoStatus: Live

Job Summary

Build reliable backend systems that power clinical data intelligence, AI-enabled insurance billing, patient-first infrastructure, and ledger-grade financial integrity. Work across a high-stakes, fragmented healthcare domain to design high-integrity abstractions, scale complex payer rules, and ensure accurate multi-party payments. Collaborate with engineers and cross-functional partners while mentoring others through design discussions, code reviews, and maintainability-focused technical decisions.
Location: New York, San Francisco, Seattle
Workplace: Onsite
Employment Type: Full time
Job Function: Software Engineering
Seniority: Mid level

Key Responsibilities

  • •Design and build high-integrity systems for clinical data, including treatment plans, progress notes, patient history, and AI-enabled clinical intelligence.
  • •Scale AI-enabled insurance billing engines to estimate and file claims accurately for complex payer rules.
  • •Build patient-first backend services for personalized care recommendations, health tracking, longitudinal data views, and therapist discovery experiences.
  • •Develop ledger systems that ensure accurate payments for providers with idempotency and strict consistency in a multi-party marketplace.
  • •Collaborate with engineers to establish technical standards, improve tooling and automation, and ship reliable backend capabilities iteratively.

Pay and Benefits

Salary: USD 182,750 - 278,500 annually
Equity and Bonus:Equity
Perks:MedicalDentalVisionHsa/fsa401kParental LeaveLearning BudgetPaid Leave

Key Requirements

  • •Turn ambiguous problems into shipped backend software and define the solution end-to-end across teams.
  • •Make technical decisions that optimize for maintainability and scale, improving engineering velocity through tooling, automation, and engineering patterns.
  • •Mentor by default through design discussions and code reviews, ensuring knowledge sharing across the team.
  • •Move quickly from problem statement to working v1, iterating based on real feedback from therapists and patients.
  • •Dive into complex healthcare domains and build a mental model fast, even without prior healthcare experience.
Experience:HealthcareInsuranceAI/LLMs
Skills:CommunicationMentorshipProblem-solvingOwnershipTechnical leadership
Tech Stack:PythonTypeScriptPostgresRedisSnowflakeAWSTemporalDatadogSentryPagerDutyCursorClaudeGeminiEddyLLMsAI

Company Brief

Headway
Headway is a technology-driven mental health platform that connects patients with licensed therapists and streamlines insurance-based mental healthcare access for providers and practices across the United States.
Industry: Mental Health
Company Size: Large (251 to 1,000 employees)
Growth: Scaleup
Headquarters: New York, United States
Founded: 2017
Website