Senior Fullstack Software Engineer

Headway
New York, New York, United States; San Francisco, California, United States; Seattle, Washington, United StatesPosted 24 March 2026

Job Description

Headway’s mission is a big one – to build a new mental health care system everyone can access. We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance. 1 in 4 people in the US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice. Headway was founded in 2019. Since then, we’ve grown into a diverse, national network of over 60,000 mental healthcare providers across all 50 states who run their practice on our software and have served over 1 million patients. We’re a Series D company with over $325m in funding from a16z (Andreessen Horowitz), Accel, GV (formerly Google Ventures), Spark Capital, Thrive Capital, Forerunner Ventures and Health Care Service Corporation. We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better. About engineering at Headway Building a new mental healthcare system at Headway is only possible because of the scale and leverage that software can provide. The engineering team at Headway is a small but mighty team using technology to build that future (and have a fun time while doing it!). Principles that guide us: Focus on the mission : We view software as a means of effecting change in the world, not as an end unto itself. We write software to empower our patients and therapists to better solve the problems they’re facing. Ship small, learn fast : We are building new and novel products and believe that we learn what our users need by quickly shipping and iteration Everything is a product : Whether it's our patient search experience or a developer productivity improvement, we treat everything we build at Headway as a product with end-users in mind. Optimize for trust : We believe that engineers should be continually learning. To learn effectively and to be productive, engineers must feel safe asking questions and discussing mistakes. Tools we use: Languages: Python 3, TypeScript Libraries Frameworks: FastAPI, SQLAlchemy, React, Remix, Next.js Datastores: Postgres, Redis Infrastructure: AWS (Fargate, ECS, S3, and more), Spark and Kafka Monitoring: Datadog, PagerDuty, Sentry Version Control: Github, PagerDuty Vulnerability Management : Snyk, Semgrep Cloud Security: Lacework Projects we’re working on: There is a lot that we're building at Headway, but here are a few projects to give you an idea of the problems we're tackling. Grow our network of therapists : Investing in ways to help therapists find and sign up for Headway including referral programs, SEO optimization, and more Therapist onboarding : Building products and tooling to make it easy to get credentialed as in network with insurance companies in record time Therapist practice management system : Building a best-in-class platform for Headway therapists to manage their patients, appointments, payments, and more. Patient search and matching : Transforming the therapist search experience and becoming the trusted guide for patients to find the right therapist. Who you are We’re looking for experienced engineers who have the ability to deal with ambiguity and learn new technologies and systems. Below are some additional experiences we think help engineers succeed at Headway. For all engineers: You have experience working across the stack on modern web applications Strong understanding of at least one programming language and comfortability with others Shaped work to achieve company and team goals Flexed into new technical and non-technical areas as projects require Committed team member supporting the growth of those around them For senior engineers: Designed software architecture at the systems-level Led sha ... (truncated, view full listing at source)
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