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 THE ROLE Headway is looking for a Principal, Clinical Program Development to build and run the clinical programs that expand how and where we deliver care. As Headway opens new referral channels, service lines, and specialty care offerings, each program needs a sound clinical design and the operational backbone to run safely at scale. That backbone includes protocols, triage and acuity criteria, escalation and crisis pathways, policies, and standard operating procedures (SOPs). You'll be a senior individual contributor who owns clinical programs end to end. You'll design programs, put in place the policies and SOPs they need to operate, and drive them from launch to steady state with rigorous program management. That means plans, milestones, dependencies, resourcing, risks, and outcome reporting. Clinical leadership keeps final clinical decision rights. You'll work across Clinical Operations, Clinical Quality, Compliance, Legal, Product, Data, and more to turn a program design into something that works day to day. If you're a clinician who has built, launched, and run clinical programs at scale, ideally in a tech-enabled environment, this is a rare chance to shape how care is delivered as Headway grows. YOU WILL - Design new clinical programs. Lead programs from needs assessment and evidence review through program design. Design covers target population and eligibility, care model, triage and acuity criteria, contact and documentation standards, escalation and crisis pathways, and success and safety measures. - Build the policies and SOPs each program needs to run. Identify the policy and procedure gaps a program creates. Write or revise policies, protocols, and SOPs with subject-matter experts, and move them through review and approval. Keep them current with version control, effective dates, and scheduled re-review. Make sure they reflect regulatory, payer, and accreditation requirements. - Run programs with strong program management. Own program plans, milestones, dependencies, owners, and resourcing across several concurrent programs. Track risks and issues, escalate early with a recommended path, and give clinical leadership and stakeholders clear status reporting. - Launch and operationalize. Work with Clinical Operations, Product, Design, and more to build program standards into workflows and tools, provider-facing materials, and training. Lead pilots and readiness checks before scaling. - Measure and improve. Partner with Data to set baselines and targets, track outcomes and safety signals, and recommend whether to iterate, scale, or sunset a program based on evidence. - Align programs with governance infrastructure. Present program designs, policies, and material changes to the relevant clinical governance bodies for decision. Route program-related clinical risks through existing risk processes. Advise on possible changes to governance structures that would benefit from updating that improves regulatory compliance and scalability. YOU’D BE A GREAT FIT IF YOU HAVE - An active clinical license as a master's-level therapist (LCSW, LPC, LMFT), a doctoral-level clinical psychologist (PhD/PsyD), or another psychiatric clinician (PMHNP-BC, MD/DO), with 7+ years of experience in mental health settings - A track record of building and launching clinical programs. You've taken a program from concept to steady operation and can speak to the care model, pathways, and outcomes. - Excellent program management. You've run several concurrent initiatives with clear plans, milestones, and reporting. You keep senior clinicians and cross-functional partners to their commitments without formal authority and without damaging the working relationship. - Experience writing the policies and SOPs that make programs run. You've authored or substantially revised clinical policies, protocols, or procedures and moved them through review and approval in a healthcare setting. Familiarity with regulatory, payer, or accreditation requirements is a plus. - Fluency with evidence-based practice. You can judge the strength of the evidence and turn it into practical standards that clinicians will follow. - A data-informed approach. You define outcome and safety measures, partner with data teams, and report progress in numbers. - Competence in leading projects that require cross functional collaboration and navigation of competing priorities. - A builder's instinct and comfort with ambiguity. You build durable programs from scratch and manage complexity without dropping details. - Motivation from the problem. You want to work on one of our generation's defining challenges: access to affordable, high-quality mental healthcare. COMPENSATION AND BENEFITS: The expected base pay range for this position is $144,000 - $280,000, based on a variety of factors including qualifications, experience, and geographic location. We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing individual contributions and potential. Benefits offered include: - 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 We believe a team's strength is in its people, and we cannot achieve this mission without a team that reflects the diversity of this problem – across race, ethnicity, gender, sexuality, age, national origin, religion, family status, disability, military status, and experience. Headway is committed to the full inclusion of all qualified individuals. As part of this commitment, Headway will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or receive other benefits and privileges of employment, please inform the recruiter when they contact you to schedule your interview. Headway participates in E-Verify. To learn more, click here. https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf A notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications…