Headway

Healthcare

StaffSoftwareEngineer(Payer)

$264–330k United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Staff Software Engineer (Payer) at Headway. Skills: ML, LLM, AI systems, Clinical quality. Architect LLM-powered systems. Review clinical documentation”

What You'll Achieve.

Save roughly 1,000 lives a year

Industry & Context.

Healthcare
Problems you'll solve

Root cause analysis; Troubleshooting

What They're Looking For.

Must Have

5+ years experience, 5+ years Python, 5+ years TypeScript, 5+ years React, 5+ years FastAPI, 5+ years SQLAlchemy, 5+ years Postgres, 5+ years Redis, 5+ years Snowflake, 5+ years AWS, 5+ years Temporal, 5+ years Kafka, 5+ years Datadog, 5+ years Sentry, 5+ years PagerDuty, 5+ years Cursor, 5+ years Claude, 5+ years Gemini, 5+ years Eddy

Nice to Have

Experience with ML/LLM systems, Experience with AI systems evaluation, Experience with LLM-powered features

What You'll Do.

Architect LLM-powered systems

Review clinical documentation

Deliver real-time feedback

Design ML/LLM systems

Spot billing patterns

Spot over-utilization

Spot low-quality care

Review every prescriber

Measure clinical quality

Improve clinical quality

Review clinical notes

Understand patient needs

Match patients to providers

Iterate on AI systems

Build evaluation frameworks

Build optimization loops

Lay architectural foundations

Raise engineering craft

How You'll Work.

Team & Collaboration

Cross-functional teams; Design discussions

Full Job Description

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. Over 75,000 providers across all 50 states run their practice on our software, serving over 1 million patients. 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. 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 Payers & Outcomes at Headway sits at the intersection of ML, clinical quality, and trust. You’re building the intelligent systems that protect the integrity of our network — spotting risk, surfacing quality signals, and giving providers real-time feedback so they can deliver great care. What you could work on: - Clinical Feedback: Architect the LLM-powered systems that review clinical documentation at scale and deliver helpful, real-time feedback to providers. Turn a traditionally painful audit process into a coaching experience — and scale it across the entire network. - Detecting Risk in Healthcare Claims: 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 insuranc

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