Pivotal Health
Senior Full Stack Engineer - Growth + Onboarding
Lower Manhattan, NY · Senior · Contract
No sponsorshipDetected 35 days ago
TypeScriptPythonReactFastAPIBackend DevelopmentFull-Stack DevelopmentAPI DevelopmentA/B Testing
About the role
- We're hiring a Senior Full Stack Engineer to join Pivotal's Growth & Onboarding team.
- This team sits at the earliest and most visible part of the customer lifecycle, and the right person cares deeply about that.
- The role is frontend-leaning but genuinely full stack, you should be comfortable and capable across both.
Responsibilities
- Build and own fullstack features across growth surfaces: Design, implement, and maintain both the backend services and frontend workflows that power provider onboarding, customization, benchmarking, and sales and marketing support tooling.
- Own features end to end.
- Build customer-facing product UI: Develop clean, functional React-based interfaces that guide providers through onboarding flows, expose customization options, and surface the information they need to get value from the platform quickly.
- Work cross-functionally with sales, marketing, product, and design: This team is a key customer touchpoint.
- You'll collaborate with go-to-market stakeholders as much as engineering ones, and you'll need to translate their needs into well-scoped technical solutions.
- Contribute to architectural decisions: Participate actively in technical planning and design discussions. Bring your full-stack perspective and push back when you see a better path.
- Strong backend fundamentals: system design, data modeling, API development, and service reliability
- Comfortable working cross-functionally with sales, marketing, product, and design stakeholders
- While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools.
- Experience in early-stage or startup environments where engineers own outcomes, not just tasks
Requirements
- 5+ years of software engineering experience, genuinely comfortable across backend and frontend
- Extra Credit If You Have
- Familiarity with experimentation, feature flagging, or A/B testing
- Familiarity with FastAPI or similar Python backend frameworks
- Familiarity with TypeScript, React Router, or Remix-style frameworks
Nice to have
- Solid frontend experience in React-based applications, including TypeScript, modern routing, and component-level product development
- Strong product orientation with a genuine interest in customer experience, especially at the earliest stages of the customer lifecycle
- Python experience preferred on the backend
- candidates from other backend languages are welcome if they're prepared to interview in Python and ramp quickly
- Able to complete a React-based full-stack technical interview and meet backend Python expectations in the broader process
- Comfortable in greenfield environments with evolving requirements
- Familiarity with Python a plus
Skills
- Work on the APIs, data models, and service logic that underpin onboarding and growth workflows.
- Bring backend depth alongside your frontend skills.
Compensation
- Competitive compensation, including equity
Benefits
- Competitive compensation, including equity
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape.
- Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care.
- Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
- We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams.
- We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey.
Company info
- Surface problems early: Communicate blockers, risks, and open questions proactively. On a small team, keeping everyone aligned is part of doing the job well.
Equal opportunity
- Pivotal Health is an Equal Opportunity Employer.
- We celebrate diversity and are committed to creating an inclusive environment for all employees.
- We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.
- Reasonable Accommodations
Visa & Work Authorization
- Candidates must be authorized to work in the United States without current or future employer sponsorship.
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This listing is sourced directly from Pivotal Health's careers page and normalized into a canonical job model.