Senior Engineering Manager (Network Value + Outcomes)

Headway•New York, NY

1d•$265,200 - $331,500•Remote

About The Position

Headway's mission is to build a new mental healthcare system that everyone can access, one that works for patients, providers, and payers alike. Our Payer & Outcomes group is where we prove that model works. We build the systems that answer two questions insurers have never been able to answer well: did the care actually work, and was it worth it? As Senior Engineering Manager for Payer & Outcomes, you'll lead the two teams that answer them. Outcomes builds our measurement backbone: collecting patient-reported outcomes at scale, tracking symptom improvement and retention to care, and turning that into evidence we can stand behind. Network Value builds the intelligence behind utilization and cost of care, covering patient acuity and segmentation, provider efficiency ranking, and the sub-network logic that routes a patient to the right level of care. These two teams share data foundations, a measurement stack, and an audience, which is why they sit together under one leader. You'll own delivery on a company-level goal we have publicly committed to: significantly increasing the share of new patients with a baseline outcome measure, without increasing provider churn. That means holding quality and adoption in tension rather than trading one for the other. You'll grow and mentor a team of roughly eight engineers plus an engineering manager, set the technical and operational roadmap across both pods, and partner daily with Product, Clinical, Data Science, and our payer-facing commercial teams. This is a deeply cross-functional role: your work is what lets Headway move payers from administrative oversight to genuine care partnership. The stakes here are concrete. Elsewhere in the group we now review clinical notes and prompt providers to put a safety plan in place when a patient shows signs of suicidal risk. At full adoption across our network, that single intervention is estimated to prevent more than 1,000 deaths a year. Your teams build the measurement and targeting layer that decides where interventions like that get aimed, and whether we can prove they worked.

Requirements

6+ years of engineering management experience at a high-growth startup or scale-up, including managing managers or tech leads
3–5+ years of experience as a software engineer, enough to hold technical direction credibly
A track record of building and leading high-performing teams that delivered business outcomes through technical investment
A strong product mindset and cross-functional relationships that build trust with users and stakeholders
Experience owning an externally-committed metric, with the scope discipline that requires
Comfort with data- and ML-heavy systems: measurement, experimentation, and metric guardrails

Nice To Haves

healthcare, insurance, or another regulated, high-trust domain
value-based care, quality measurement, or utilization management
prior experience with Python, React, and AWS infrastructure

Responsibilities

Lead, manage, and grow two engineering teams
Own delivery on a company-level outcomes key result, including its guardrails
Set the technical and operational roadmap across measurement, segmentation, and utilization
Develop your team through weekly 1:1s, mentorship, and direct feedback, and develop the manager reporting to you
Partner closely with Product, Clinical, Data Science, and Commercial to iterate quickly and rigorously
Contribute to the broader group and company strategy, not just your own roadmap

Benefits

Equity Compensation
Medical, Dental, and Vision coverage
HSA / FSA
401K
Work-from-Home Stipend
Therapy Reimbursement
16-week parental leave for eligible employees
Carrot Fertility annual reimbursement and membership
13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
Flexible PTO
Employee Assistance Program (EAP)
Training and professional development