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HeadwayHeadwayNew York, NY

Staff Fullstack Software Engineer

Staff Fullstack Engineer building end-to-end ownership of therapist practice management, patient engagement, and AI-enabled clinical systems. Owns features from database schema to UI while shaping technical strategy.

224k – 280k/yr
On-site7+ YOEFullstack Engineering

About the role

Responsibilities

  • Build reliable abstraction layers over a fragmented healthcare system and translate them into seamless, empathetic user experiences
  • Own features from database schema to UI for therapist practice management including scheduling, AI-assisted clinical documentation, and payment management
  • Build interfaces and APIs for patient & provider engagement, communication, and personalized experiences
  • Design and build systems that manage clinical data with high-integrity experiences for treatment plans and progress notes, integrating AI-powered clinical intelligence
  • Turn insurance credentialing into a sleek, consumer-grade experience with products and tooling for providers
  • Own tools and experiences that expand Headway's reach — acquiring new providers and empowering existing ones
  • Build systems, tools, and processes that enable the team to ship innovative products quickly, safely, and reliably
  • Work with cross-functional leadership to shape the roadmap and technical strategy

Requirements

  • End-to-end product builder comfortable with both API architecture and user experience
  • Experience turning ambiguous problems into shipped software with ability to define solutions and coordinate across teams
  • Makes technical decisions optimizing for maintainability and scale
  • Proactively improves engineering velocity through tooling, automation, and patterns
  • Mentors engineers through design discussions and code reviews
  • Ships fast and iterates quickly, preferring good v1 this week over perfect v1 next month
  • Quick study in complex domains with ability to build mental models fast
  • Communicates clearly and concisely in Slack, design docs, and cross-team meetings
  • Experiments with applying LLMs to real workflows including code generation, operational automation, and developer tooling

Tech Stack

  • Languages: TypeScript, Python 3
  • Frontend: React, Remix, Next.js
  • Backend & Storage: FastAPI, SQLAlchemy, Postgres, Redis, Snowflake
  • Infrastructure: AWS, Temporal, Kafka
  • Ops: Datadog, Sentry, PagerDuty
  • AI Tools: Cursor, Claude, Gemini

Benefits

  • $224,000 - $280,000 base salary plus competitive equity package
  • Medical, dental, vision, HSA/FSA, 401(k), Carrot Fertility reimbursement, 16-week parental leave
  • Therapy reimbursement and professional development budget
  • 13 holidays, full week off in December, flexible PTO

Skills

TypeScriptPythonReactRemixNext.jsFastAPISqlalchemyPostgresRedisAWS

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