Senior Backend Architect - AI-Driven Healthcare Platform

Headway; New York (NY); On-site; USD 183,000 - 279,000; Full time

Benefits offered by this job

Medical, dental, vision

HSA/FSA

16-week parental leave

Job summary

Headway in New York is seeking a backend engineer to build the AI-enabled clinical system and the insurance billing engine that powers thousands of providers and patients. You will work on patient-first infrastructure and financial integrity across a multi-party marketplace, ensuring high reliability, data integrity, and scalable systems that can adapt to evolving healthcare rules.

Join a mission-driven team, with a competitive base salary, equity, comprehensive benefits, and generous time off

Qualifications

• You’ve turned ambiguous problems into shipped software.
• You make technical decisions that optimize for maintainability and scale.
• You mentor teammates and share knowledge across the team.
• You ship fast and iterate based on real feedback from users and stakeholders.
• You dive into complex domains and build working mental models quickly.
• You are motivated by meaningful impact in healthcare and access to care.
• You communicate clearly across Slack, docs, and meetings.
• You experiment with AI to automate workflows and improve tooling.

Responsibilities

• Design and build backend services that store and manage clinical data.
• Scale the insurance billing engine to handle high volumes and edge cases.
• Develop patient-first infrastructure powering personalized care features.
• Ensure idempotency and strong data consistency in a multi-party marketplace.

Skills

Ownership of outcomes

Mentoring by default

Clear communication

Shipping quickly

Tools

Postgres

Redis

Snowflake

AWS

Temporal

Datadog

Sentry

PagerDuty

Cursor

Claude

Gemini

Eddy

Job description

Headway in New York is seeking a backend engineer to build the AI-enabled clinical system and the insurance billing engine that powers thousands of providers and patients. You will work on patient-first infrastructure and financial integrity across a multi-party marketplace, ensuring high reliability, data integrity, and scalable systems that can adapt to evolving healthcare rules.

Join a mission-driven team, with a competitive base salary, equity, comprehensive benefits, and generous time off