Pivotal Health

Pivotal Health

Senior Software Engineer - Growth + Onboarding

Lower Manhattan, NY · Senior · Contract

No sponsorshipDetected 35 days ago
PythonAPI Development

About the role

  • We're hiring a Senior Software Engineer to join Pivotal's Growth & Onboarding team.
  • Strong product instincts and a genuine interest in what customers need earliest in their journey are just as important as technical depth here.

Responsibilities

  • Build and own backend systems: Design, implement, and maintain the services and APIs that power provider onboarding, activation, customization workflows, and growth-oriented tooling. Take end-to-end ownership from design through production.
  • Build practical customer-facing tools: Translate what providers, sales, and marketing need at the earliest stages of the customer lifecycle into reliable, well-designed backend systems and workflows.
  • Contribute to architectural decisions: Be an active participant in technical planning and design discussions. Bring your implementation perspective and push back when you see a better path.
  • Partner cross-functionally: Work closely with product, sales, and marketing stakeholders, not just engineering. This team is a key customer touchpoint and the right person is comfortable in that cross-functional environment.
  • Operate with autonomy: With a small team and real ownership, there's no room for passengers. You'll identify what needs solving and drive your work forward without heavy oversight.
  • Write reliable, maintainable code: Hold a high bar for code quality, testing, and system design. Build things that hold up as the platform and team scale.
  • Solid understanding of backend fundamentals: system design, data modeling, API development, and service reliability
  • Build and own backend systems: Design, implement, and maintain the services and APIs that power provider onboarding, activation, customization workflows, and growth-oriented tooling.
  • Take end-to-end ownership from design through production.
  • Design, implement, and maintain the services and APIs that power provider onboarding, activation, customization workflows, and growth-oriented tooling.

Requirements

  • 5+ years of software engineering experience with a strong backend focus
  • Extra Credit If You Have

Nice to have

  • Strong product orientation with good instincts around customer needs and usability: you think about the person using the thing, not just the system underneath it
  • Python experience preferred
  • candidates from other backend languages are welcome if they're prepared to interview in Python and ramp quickly
  • Comfortable working in product-driven environments with cross-functional stakeholders including sales and marketing
  • Comfortable in greenfield environments with evolving requirements
  • Familiarity with Python a plus

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. Keeping the team 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.

This listing is sourced directly from Pivotal Health's careers page and normalized into a canonical job model.