Staff Product Manager, Billing Infrastructure

Role Description

Behavioral health is booming, demand keeps growing, but getting paid for it keeps getting harder. For providers, getting paid for it is the hard part. Reimbursement is wildly variable and timely, in-full payment can be the difference between a practice staying open and a patient losing access to care. That's the stakes underneath the systems you'll build. For Headway's 80K+ providers, getting billing right isn't back-office hygiene; it's what keeps their doors open.

You will own two connected halves of Headway's billing platform:

• Building the billing system into an engine where every new appointment comes out right.
• Turning financial data into datasets, dashboards, and general-ledger outputs Finance and Accounting rely on to close the books.

Today, this infrastructure is fragmented — manual reconciliation, undetected payment failures, and limited real-time visibility create operational drag and growing risk as we scale. Your job is to turn it into a unified platform that Finance, Engineering, Support, and Compliance can all build on and trust.

You Will:

• Prevent breakage going forward: define the billing state machine, enforced handoffs, and guardrails so new appointments come out right without manual intervention.
• Make financial data usable: build the trusted datasets, dashboards, and general-ledger/audit outputs Finance and Accounting rely on to close the books — moving time-to-close from yearly to quarterly to monthly.
• Own the billing platform architecture and roadmap — the ledger, reconciliation, and data-integrity systems underneath patient charges, provider payouts, and payer collections.
• Partner with Data and Engineering to monitor payment/reconciliation health and drive systemic fixes, not point patches.
• Partner with Finance, Accounting, and Compliance so financial reporting and audit prep are trustworthy and fast, not multi-week fire drills.
• Serve as the platform other teams build on — Provider Payouts, Payer Collections, and Pricing consume your platform's guarantees without you owning their roadmaps.

Qualifications

• 8+ years building billing platforms, ledgers, or accounting systems — ideally in healthcare, fintech, or marketplaces with complex payment flows.
• Comfortable diving deep with engineering teams on complex technical problems and driving hard architectural decisions.
• Trusted partner to Finance, Accounting, and Compliance, not just Engineering — you can translate ledger reality into language each audience acts on.
• Strong and clear communicator — clear and concise translating between accounting/ops language and engineering language.

Benefits

• Headway is committed to the full inclusion of all qualified individuals.
• Reasonable accommodations will be provided for persons with disabilities.

Company Description

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.

Over 75,000 providers across all 50 states run their practice on our software, serving over 1 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.

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.