Staff Software Engineer (Payer)

1 in 4 people in the US have a treatable mental health condition but most providers dont accept insurance making therapy too expensive for most people. Headways 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. Weve automated that.

But were going further. Over 75000 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 arent just a billing layer; we are becoming the platform where care actually happens.

Were 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. Youre 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 insurance partners.
• Measuring & Elevating Clinical Quality: Help build the systems that systematically review every prescriber in our network against clinical quality standards so we can measure improve and defend the quality of care Headway delivers. The stakes are real: our most recent launch reviews clinical notes and nudges providers to put a safety plan in place when a patient shows signs of suicidal risk a system projected to save roughly 1000 lives a year.
• Patient Needs & Provider Fit: Crack the one size fits all problem. Build ML systems that understand how complex a patients needs are and match them to providers best suited to help so every patient gets the right care and every provider operates at their best.
• Trustworthy AI in Healthcare: Champion how Headway evaluates and iterates on AI systems. Build the evaluation frameworks optimization loops and observability that keep LLM-powered features reliable and safe in a regulated environment.
• Technical Foundations & Mentorship: Set the technical bar for the Payers & Outcomes group 12 engineers today growing to 3050 by end of year. Lay the architectural foundations other teams will build on and raise the whole groups engineering craft as it scales.

#LI-BM1

We believe a teams 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. Headway is committed to the full inclusion of all qualified individuals. As part of this commitment Headway will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or receive other benefits and privileges of employment please inform the recruiter when they contact you to schedule your interview.

Headway participates in E-Verify. To learn more click here.

A notice to Headway applicants: To protect yourself against phishing and recruitment fraud please note that Headway only accepts applications through our official careers page at Headway will never refer you to external websites ask for payment or personal information or conduct interviews via messaging apps. All official communication will come from a @ email address. If you are contacted by someone claiming to be from Headway via an unofficial channel please do not share any information and report it as spam.