Pivotal Health

Pivotal Health

Engineering Manager - Growth + Onboarding

Lower Manhattan, NY · Contract

No sponsorshipDetected 34 days ago
PythonFull-Stack DevelopmentAgileCommunication

About the role

  • This is a high-visibility role with real cross-functional scope.

Responsibilities

  • Lead as a player-coach: Contribute code, perform design reviews and PRs, and guide technical strategy while supporting the growth and effectiveness of the team.
  • Own the Growth & Onboarding surface: Take end-to-end engineering ownership of the systems that onboard new providers, power customization workflows, support benchmarking, and enable the sales and marketing motions that drive Pivotal's growth.
  • Partner cross-functionally with product, sales, and marketing: This team is a key customer touchpoint.
  • You'll collaborate closely with stakeholders across functions to understand what providers need earliest in the lifecycle and translate that into engineering execution.
  • Guide customer-facing engineering: Bring a strong sense of customer experience to a team building high-visibility, provider-facing workflows. Help the team make good tradeoffs that serve both the customer and the business.
  • Drive execution and delivery: Own the engineering side of delivery (sprint planning, standups, retros, prioritization) ensuring the team ships consistently and learns from each cycle.
  • Build lightweight process and rituals: Establish and evolve team workflows that improve focus and predictability without unnecessary ceremony.
  • Support and grow engineers: Coach engineers on execution, communication, and ownership across both IC and managerial tracks.
  • 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

  • 6+ years of professional software engineering experience, including recent hands-on backend work
  • 2+ years of experience managing and developing engineers
  • Experience standing up or significantly shaping a new team or function, not just inheriting an established one
  • Experience leading teams with a mix of backend and full-stack engineers
  • Experience working in product-driven environments with close Product partnership
  • Hands-on experience with onboarding systems, activation funnels, customization tooling, or growth-oriented product engineering
  • Experience at a Series A or early-stage startup where priorities evolve quickly and leaders wear multiple hats
  • Bachelor's degree in STEM preferred; additional experience in lieu of a degree is also accepted

Nice to have

  • Bachelor's degree in STEM preferred
  • additional experience in lieu of a degree is also accepted
  • 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.

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.