Pivotal Health

Senior Fullstack Engineer - Product Platform Engineering

Pivotal Health
Apply
7 hours ago
San Francisco, CA, USA or Santa Monica, CA, USASenior

Base Salary

$190k - $220k/yr

Responsibilities

  • Own platform components end to end, including services, libraries, and schemas from design through production.
  • Build composable abstractions and well-defined interfaces that product teams can extend and reuse.
  • Design scalable, reliable system interactions and data flows while balancing performance, security, and extensibility.
  • Build and improve monitoring, alerting, dashboards, and testing pipelines that provide meaningful operational signal.
  • Reduce engineering toil through reusable abstractions, tooling, and AI-assisted automation where useful.
  • Partner with product engineering, data, infrastructure, and feature teams to unblock delivery and align platform decisions with user needs.

Requirements

  • 5+ years of experience in fullstack, backend, or platform software engineering.
  • Strong software engineering foundation and coding skills, with Python preferred.
  • Hands-on experience designing and operating cloud-native systems, with GCP preferred.
  • Experience with relational databases, data modeling, and production schema evolution.
  • Familiarity with event-driven architectures such as Kafka, Pub/Sub, or Kinesis.
  • Ability to work across authorization, messaging infrastructure, and data pipelines.
  • Strong product judgment, customer orientation, self-direction, and comfort with ambiguous greenfield environments.
  • Collaborative, direct, feedback-oriented working style.
  • Preferred experience includes OIDC, SAML, SSO, sessions, RBAC, transactional email, messaging infrastructure, data ingestion, ML model production tooling, internal libraries or SDKs, developer tooling, automation, AI-assisted tooling, TypeScript, React, startup environments, or regulated industries.

Benefits

  • Competitive compensation including equity.
  • Full health, dental, and vision coverage.
  • 401(k) retirement savings plan.
  • Flexible time off.
  • Company-wide connection and events.
  • Remote and hybrid flexibility varies by role and team; the company primarily hires around Los Angeles and New York but considers exceptional candidates outside those regions.
Pivotal Health

About Pivotal Health

1-10 employees

Pivotal Health builds an AI-driven platform that streamlines complex reimbursement workflows for healthcare providers, including disputing underpaid insurance claims and managing IDR processes. It sells software-plus-services to hospitals and physician groups to reduce administrative burden and recover fair payment. Founded in 2017 and headquartered in Denver, Colorado, Pivotal Health is privately held.

Contact me