Senior Backend Engineer - Healthcare AI Platform

Headway; San Francisco (CA); On-site; USD 183,000 - 279,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

HSA/FSA

401(k)

Carrot Fertility reimbursement

16-week parental leave

Therapy reimbursement

Professional development budget

Holidays

Flexible PTO

Job summary

Headway is on a mission to make mental healthcare accessible to all. As a Backend Engineer, you will design and implement high-integrity systems that store clinical data, automate insurance billing, and power patient-centric experiences.

You will work with Python and TypeScript, Postgres and Redis, and AWS, building scalable services that support millions of patients and 70k+ providers. Join a mission-driven team shipping impactful software in healthcare.

Qualifications

• Experience designing and building backend systems for healthcare data.

Responsibilities

• Build high-integrity backend for clinical data and AI-powered summaries.
• Scale the insurance billing engine to handle payer rules and claims processing.
• Develop patient-first infrastructure for care recommendations and longitudinal data.
• Ensure ledger integrity for multi-provider payments.

Skills

Problem solving

Ownership

Communication

Tools

Python

TypeScript

PostgreSQL

Redis

Snowflake

AWS

Temporal

Datadog

Sentry

PagerDuty

Cursor

Claude

Gemini

Eddy

Job description

Headway is on a mission to make mental healthcare accessible to all. As a Backend Engineer, you will design and implement high-integrity systems that store clinical data, automate insurance billing, and power patient-centric experiences.

You will work with Python and TypeScript, Postgres and Redis, and AWS, building scalable services that support millions of patients and 70k+ providers. Join a mission-driven team shipping impactful software in healthcare.