Note: The job is a remote job and is open to candidates in USA. Pivotal Health is a technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. The Engineering Manager will lead the Case Strategy Engineering team, owning systems that apply data, AI, and machine-learning capabilities to improve decisions across the independent dispute resolution workflow. The role includes managing engineers, guiding technical direction, delivering reliable product capabilities, and connecting engineering outcomes to customer value and ARR.
Responsibilities
- Own Customer Lift: Drive the engineering outcomes that improve the incremental reimbursement Pivotal delivers for customers. Connect the team’s technical roadmap to measurable gains in customer value and ARR
- Build the Case Strategy Platform: Own the data models, databases, APIs, services, and full-stack workflows that apply case strategies throughout the IDR process
- Turn Models Into Product Capabilities: Work with Science and AI Platform to move AI and ML capabilities from experimentation into reliable, usable product experiences
- Create a Data and Feedback Flywheel: Build the systems that capture outcomes, surface useful signals, and feed real-world results back into model development and strategy improvement
- Lead an Experienced Engineering Team: Set clear priorities, coach engineers, create accountability, and make sound decisions while preserving the rigorous technical debate that makes the team stronger
- Grow and Structure the Organization: Hire additional engineers and establish the roles, ownership boundaries, and operating practices the team needs as its scope expands
- Drive Predictable Delivery: Turn ambiguous product and technical problems into clear plans, sequence the work, manage dependencies, and ensure the team ships meaningful improvements consistently
- Shape the Technical Direction: Guide architectural decisions across Python services, GCP infrastructure, data systems, LLM-enabled capabilities, and customer-facing applications
- Use AI to Stay Close to the Work: Apply AI-enabled development tools to explore ideas, prototype solutions, and contribute directly when doing so accelerates the team or improves a technical decision
Skills
- You have spent several years (7+ as an IC and 2+ as a manager) building and leading engineering teams in early-stage environments where the structure, roadmap, and technical approach were still being defined
- You bring a strong individual-contributor foundation and enough technical depth to guide architecture, evaluate tradeoffs, and earn the trust of experienced engineers
- You have led the delivery of production AI or ML products, or managed engineering work in close partnership with data-science or applied-science teams
- You understand how to build reliable systems around models, including data pipelines, feedback loops, APIs, monitoring, and the product workflows where model outputs are applied
- You can lead through ambiguity and imperfect data, forming clear points of view without waiting for every question to be resolved
- You know how to manage an experienced, opinionated team—creating clarity and making decisions without shutting down productive disagreement
- You connect engineering work to business and customer outcomes and are prepared to own results tied directly to Pivotal's most important KPI: ARR
- You communicate technical decisions with precision and can create alignment across Engineering, Science, Product, and other partners
- Candidates must be authorized to work in the United States without current or future employer sponsorship
- Experience in healthcare, provider reimbursement, revenue-cycle management, claims, or Independent Dispute Resolution
- Experience with optimization, experimentation, decision systems, strategy models, or feedback-driven ML products
- Experience scaling an early engineering team or building production AI systems using Python, GCP, and LLMs
Benefits
- Competitive compensation, including equity
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Opportunities for company-wide connection and events
Company Overview