Pivotal Health

Staff Software Engineer, New Products

Pivotal Health
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1 day ago
Remote, United States or Santa Monica, CA, USAStaff+

Base Salary

$210k - $235k/yr

Responsibilities

  • Join customer calls and site visits and turn customer feedback into working prototypes.
  • Build zero-to-one products across backend services, APIs, data pipelines, AI-driven workflows, and React front ends.
  • Design, instrument, and evaluate product experiments with the pod.
  • Make technical and product-direction decisions with the co-founder and Director of Product Engineering.
  • Scale successful prototypes into production systems for the broader engineering organization.
  • Set architecture, reusable building blocks, and technical standards for new products.
  • Use AI tools in development, debugging, and exploration, and help improve their use across engineering.
  • Collaborate with platform, data, and operations teams to reuse existing capabilities.

Requirements

  • 8+ years of experience building and shipping production software, including new products from scratch at a startup or new-product team.
  • Strong backend experience with Python and FastAPI or a similar modern service language, plus relational databases such as PostgreSQL.
  • Ability to ship complete product experiences using React and TypeScript.
  • Experience working directly with users and changing direction based on customer feedback.
  • Experience building with large language models and sound judgment about their appropriate use.
  • Ability to make decisions with incomplete information and revise them as evidence changes.
  • Preferred: early or founding engineer experience; healthcare revenue cycle or another operationally complex domain; GCP, SQLAlchemy, and React Router/Remix familiarity; product analytics and experiment design; workflow software or internal tools experience.

Benefits

  • Competitive compensation including equity.
  • Full health, dental, and vision coverage.
  • 401(k) retirement savings plan.
  • Flexible time off.
  • Company-wide connection and event opportunities.
  • Remote and hybrid flexibility varies by role and team; the company primarily hires around Los Angeles and New York hubs and remains open to exceptional talent elsewhere.
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.

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