Senior Fullstack Engineer - Case Execution
Pivotal Health24 hours ago
Remote, United States or San Francisco, CA, USASenior
Base Salary
$190k - $220k/yr
Responsibilities
- Build and improve backend systems for eligibility, batching, submissions, operations workflows, and claim orchestration.
- Solve complex data-driven decision logic and workflow problems where correctness and sequencing are critical.
- Develop and improve systems that stage, route, and execute cases end to end.
- Collaborate with Integrations, Case Strategy, engineering, product, and adjacent teams.
- Contribute to internal-facing React UI and operations tooling as needed.
- Own workflow-heavy backend systems and drive ambiguous technical problems to resolution.
Requirements
- 5+ years of fullstack software engineering experience with a backend focus.
- Strong engineering fundamentals and hands-on experience building data-heavy, workflow-oriented systems.
- Experience with complex data-driven decision logic or orchestration problems.
- Experience contributing to modern React-based applications.
- Python experience and the ability to work effectively in a Python-based backend environment.
- Ability to work independently and communicate effectively across engineering, product, and adjacent teams.
Benefits
- Competitive compensation including equity.
- Full health, dental, and vision coverage.
- 401(k) retirement savings plan.
- Flexible time off.
- Company-wide connection and team events.
- Primarily hires around Los Angeles and New York hubs, with exceptional talent outside those regions considered.
- Remote and hybrid flexibility varies by role and team.
Categories
About Pivotal Health
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.