# Staff Fullstack Software Engineer
**Company:** [Headway](https://hotfix.jobs/companies/headway)
**Location:** New York, NY
**Salary:** $224K-$280K
**Experience:** 7+ years
**Skills:** TypeScript, Python, React, Remix, Next.js, FastAPI, Sqlalchemy, Postgres, Redis, AWS
**Posted:** 2025-07-11
> 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.
## Job Description
## 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
**Apply:** https://hotfix.jobs/jobs/staff-fullstack-software-engineer-at-headway-38b48f2f-6e1b-4b29-8aa2-69a5fddaa6bf
**Canonical:** https://hotfix.jobs/jobs/staff-fullstack-software-engineer-at-headway-38b48f2f-6e1b-4b29-8aa2-69a5fddaa6bf