Pivotal Health
Staff Software Engineer - Growth + Onboarding
Lower Manhattan, NY · Staff+ · Contract
No sponsorshipDetected 35 days ago
PythonDevOpsRESTLeadershipCollaboration
About the role
- This is a high-ownership, high-autonomy role on a team that is still defining itself.
- Architecture, ownership boundaries, and integration patterns are all still being worked out, which means the right person can operate without a clear playbook and bring strong technical judgment to ambiguous problems.
- You'll be a hands-on technical leader and a force multiplier for the engineers around you and you'll have real influence over how this team approaches some of the hardest integration problems in healthcare.
Responsibilities
- Build and ship production systems: Stay hands-on. Write production code, lead design reviews, and take end-to-end ownership of the systems you drive.
- Translate ambiguity into executable plans: Partner with product and engineering leadership to take loosely defined requirements and turn them into clear, well-scoped work with understood tradeoffs.
- Operate cross-functionally: Work closely with product, data, platform, and DevOps partners to ensure integrations are secure, well-instrumented, and built for the long term.
- Mentor and grow engineers: Be a technical resource and thought partner for senior and mid-level engineers on the team.
- Set standards the rest of the team builds to.
- Write production code, lead design reviews, and take end-to-end ownership of the systems you drive.
- Partner with product and engineering leadership to take loosely defined requirements and turn them into clear, well-scoped work with understood tradeoffs.
- 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
- 8+ years of software engineering experience with a strong backend focus
- Extra Credit If You Have
- Experience with SFTP-based ingestion pipelines, data sharing workflows, or clinical data access systems
- Experience in startup or high-growth environments where engineers help define the product
Nice to have
- Familiarity with Python a plus
Skills
- Track record of owning architectural decisions on complex, production systems
- Comfortable operating with high autonomy in ambiguous, greenfield environments where ownership and architecture are still being worked out
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
- Help the team understand integration requirements deeply by engaging in problem discovery alongside product and, where relevant, customers and partners.
- Translate what you learn into sound technical plans.
- Bridge technical implementation and customer discovery: Help the team understand integration requirements deeply by engaging in problem discovery alongside product and, where relevant, customers and partners.
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.