Pivotal Health
Staff Software Engineer - Financial Systems
Santa Monica, CA · Staff+ · Contract
No sponsorshipDetected 90 days ago
Distributed SystemsSalesforceQuickBooksERPNetSuite
About the role
- We're hiring a Staff Software Engineer to join Pivotal's brand new Financial Systems team, a small, technical group focused on how money moves through our platform and into the hands of the providers we serve.
- If you want to work on a hard problem with a strong team, real ownership, and room to grow, this is it.
Responsibilities
- Own the technical direction for money movement logic: Build the business logic that determines how funds are calculated and distributed: how much goes to the client, how much flows through the IDR system, and how refunds are handled after billing.
- Drive technical decision-making and documentation: As a technical leader on a small team, you'll be expected to define standards, write supporting documentation, and ensure the team's technical decisions are clearly reasoned and well-recorded.
- You set the bar for how the team builds.
- Grow with the team: Staff Engineers are expected to be tech leads of their respective project workstreams. You'll have the opportunity to shape not just the codebase, but the team structure itself.
- Experience building integrations with third-party platforms: ERPs, CRMs, financial systems, or similar
- Startup or early-stage experience: you understand what it means to build in an environment where organizational infrastructure is still taking shape
- Lead the architecture and build of greenfield integrations: Design and implement our ERP and Salesforce integrations from the ground up.
- 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.
- Experience growing into or functioning as a tech lead on a small, fast-moving engineering team
Requirements
- 7+ years of software engineering experience with a strong backend focus
- Proven track record of owning architectural decisions on complex, production systems
- Strong understanding of financial or payments systems: you understand how money moves and what correctness means in that context
- Comfortable in greenfield environments: you can operate without established playbooks and make sound decisions in ambiguity
- Direct experience with Salesforce or ERP integrations (e.g., NetSuite, Sage, QuickBooks)
Nice to have
- Experience with transactional systems and distributed architecture is 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.
- You'll make the foundational architectural decisions, evaluate tradeoffs, and document the reasoning behind them, building systems that are scalable, maintainable, and fit for a fast-growing platform.
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.