Note: The job is a remote job and is open to candidates in USA. Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They are seeking a Senior Software Engineer to join their Case Execution team, focusing on backend development and complex workflow-driven problems to enhance operational efficiency in healthcare reimbursement.
Responsibilities
- Build and improve core case execution systems: Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration. These are the systems that determine how cases move through Pivotal's platform and reach resolution
- Tackle complex, data-driven backend problems: Work through the decision logic and data-heavy workflows that make eligibility and batching hard, understanding not just how individual systems work, but how they interact across the broader platform
- Contribute to workflow orchestration: Build and improve the systems that coordinate how cases are staged, routed, and executed end to end, with a clear eye toward correctness and reliability
- Collaborate cross-functionally: Work closely with the Integrations team, Case Strategy team, and other engineering and product partners to ensure systems are well-connected and aligned with how the broader platform operates
- Contribute to front-end and admin workflows where needed: The role is primarily backend-focused, but you'll contribute to internal-facing UI and ops tooling where the product requires it
Skills
- 5+ years of software engineering experience with a strong backend focus
- Strong engineering fundamentals with hands-on experience building data-heavy, workflow-oriented systems
- Experience working on complex, data-driven decision logic or orchestration problems: you're comfortable with systems where correctness and sequencing both matter
- Comfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve
- Python experience; able to work effectively in a Python-based backend environment
- Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight
- Strong communicator who collaborates well across engineering, product, and adjacent teams
- Experience with healthcare-specific data or HealthTech systems
- Exposure to data-heavy architectures or problems adjacent to data engineering without being a pure data engineer
- Familiarity with tools like Snowflake, dbt, or Databricks
- Some front-end experience to support admin workflow contributions
Benefits
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Opportunities for company-wide connection and events
- Competitive compensation, including equity
Company Overview