1 in 4 people in the US have a treatable mental health condition, but most providers don't accept insurance, making therapy too expensive for most people. Headway’s mission is to fix this by building a new mental healthcare system everyone can access. We started by solving the biggest barrier to care: insurance. The admin work - credentialing, claims, payment reconciliation - is a nightmare. We've automated that.

But we're going further. Over 90,000 providers across all 50 states run their practice on our software, serving over 2.6 million patients. We are building the best tools for therapists to run their entire practice, reimagining the experience of finding a therapist, and investing in the platform foundations to enable this at scale, and building much of it with AI. We aren't just a billing layer; we are becoming the platform where care actually happens.

We're a Series D company with $325M+ in funding (a16z, Accel, Spark Capital, etc.), looking for exceptional people to help us achieve this mission. 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 iterating.

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, SageMaker and more), Spark and Kafka

Monitoring: Datadog, PagerDuty, Sentry

Version Control: Github

Vulnerability Management: Snyk, Semgrep

Cloud Security: Lacework

About this role

Headway's mission is to build a new mental healthcare system that everyone can access. We have built the largest insurance-based therapy network in the country, and the insurers paying for it are now asking two fair questions: is it working, and is it worth it? Network Value is the team that answers the second one.

At the risk of oversimplifying it, you could describe the problem as one shoe, one size, one price. Sessions differ enormously in what they involve and in how much they help, and yet they are largely paid for as though they were the same thing. That is not carelessness on anyone's part. Patients, providers and insurers have all been working without the data that would let them be more specific, and producing that data honestly is genuinely hard.

As Engineering Manager for Network Value, you'll lead the team closing that gap: understanding our patients and our providers far better than we do today, using that to match them well, and turning the result into evidence an insurer will accept. The nuance is the job. The differences that matter are real but subtle, and being crude about them has consequences for providers' livelihoods and patients' care.

You'll grow and mentor a team of roughly five to eight engineers, set the roadmap for the pod, and work closely with Product, Clinical, Data, and the people who sit across the table from payers.

Get this right and the same money buys better care. Get it crudely wrong and we either keep paying for care that did not help, or we penalise providers who were doing the right thing all along. Holding both of those at once is the real difficulty of the role, and the reason it needs a strong leader.