Headway
Healthcare
StaffSoftwareEngineer(Payer)
Neural analysis suggests this role is
optimal for Senior candidates.
“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.
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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