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.
About the job
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
TypeScript, Python, React, Remix, Next.js, FastAPI, Sqlalchemy, Postgres, Redis, AWS
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