Pivotal Health
Full Stack Product Engineer
Santa Monica, CA · Staff+ · Contract
No sponsorshipDetected 90 days ago
TypeScriptPythonReactFastAPIBackend DevelopmentFull-Stack DevelopmentPostgreSQLGCPCloud PlatformsMachine LearningProduct ManagementLogistics
About the role
- This role sits on the AI/ML Engineering team.
- The role is full stack, but intentionally backend-leaning.
- We're looking for someone who is comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work.
Responsibilities
- Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows.
- Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows.
- Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product.
- Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage.
- Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene.
- Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration.
- 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.
Requirements
- You are full stack, but your center of gravity is backend systems and product logic.
- You are comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity.
- You have a high ownership mindset and like driving work from rough idea to production.
- You are an AI power user yourself.
- strong backend experience in Python, FastAPI, or similar service-oriented systems
- experience contributing meaningfully to modern React-based frontend applications
- experience with TypeScript, React Router or Remix-style frameworks, and product UI development
- experience with PostgreSQL, SQLAlchemy, or other relational data systems
- experience with GCP or similar cloud environments
Skills
- Python and FastAPI on the backend
- PostgreSQL and relational data models
- React-based web applications with modern routing and TypeScript
- GCP-hosted services and internal APIs
- AI and workflow systems that combine application logic, structured data, and model-backed experiences
- deep backend engineering and pragmatic full stack product development.
- Competitive compensation, including equity
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
Compensation
- Competitive compensation, including equity
Benefits
- 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
- The upside is massive impact: the products you work on can materially change how the company operates and how customers experience Pivotal.
- Part of this team's job is building AI-powered products, but part of it is also helping the company get dramatically better at using AI.
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.