Staff Fullstack Software Engineer

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