Pivotal Health
Senior Software Engineer - Integrations
Lower Manhattan, NY · Senior · Contract
No sponsorshipDetected 35 days ago
PythonAPI DevelopmentData Engineering
About the role
- We're hiring a Senior Software Engineer to join Pivotal's Integrations team.
- This is a full-ownership role on a small, fast-moving team that is still defining itself.
- You'll work closely with product, contribute to architectural decisions, and take real accountability for what you ship.
Responsibilities
- 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.
- 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.
- Partner closely with product and stakeholders: Work directly with product to understand requirements, clarify scope, and translate integration needs into sound technical plans.
- Write reliable, maintainable code: Hold a high bar for code quality, testing, and system design. Correctness matters here, these integrations affect real clinical and financial data.
- Solid understanding of backend fundamentals: system design, data modeling, API development, and service reliability
- Comfortable working with database-heavy systems and building around messy, real-world data
- Experience building or maintaining integrations with third-party APIs, data pipelines, or external enterprise systems
- 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
- 5+ years of software engineering experience with a strong backend focus
- Extra Credit If You Have
- Experience with SFTP-based ingestion, data sharing pipelines, or clinical data access workflows
Nice to have
- Familiarity with Python a plus
Skills
- Take end-to-end ownership from design through production.
- Comfortable in greenfield environments with evolving requirements and ambiguous ownership
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.
- Build and own backend integrations: Design, implement, and maintain the services, pipelines, and APIs that connect Pivotal's platform to external healthcare systems, billing tools, and partner data sources.
Company info
- Work directly with product to understand requirements, clarify scope, and translate integration needs into sound technical plans.
- Be comfortable in conversations that involve customers, partners, or domain complexity.
- Surface problems early: Communicate blockers, risks, and open questions proactively. Keeping the team aligned is part of doing the job well.
- Able to collaborate closely with product, customers, and partners, not just engineering teammates
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.