Pivotal Health

Senior Applied AI Engineer, Position Statements

Lower Manhattan, NY · Senior · Contract

No sponsorshipDetected 42 days ago

Machine LearningLLMsA/B TestingResearch

About the role

Pivotal Health is investing heavily in AI as a core strategic capability to transform healthcare operations.
Reporting to the Head of AI/ML Engineering, you will work at the intersection of software engineering, machine learning, and operational workflows to transform ambiguous business challenges into scalable, reliable solutions.
This role is focused on applied AI engineering-not research in isolation.

Own and improve production AI systems. Design, deploy, and optimize AI/ML solutions that support critical business workflows and operational decision-making.
Build AI-powered workflow platforms. Develop and refine production workflows leveraging generative AI models, agent frameworks, orchestration systems, and decisioning engines.
Design evaluation and experimentation frameworks. Create robust evaluation methodologies, testing strategies, and measurement systems that improve model quality, workflow performance, and business outcomes.
Translate business problems into scalable systems. Partner with product, operations, and engineering teams to define success metrics and convert ambiguous requirements into production solutions.
Optimize model and workflow performance. Improve prompts, retrieval strategies, agent behavior, and system-level workflows through continuous experimentation and feedback loops.
Drive engineering excellence. Contribute to architecture, testing, observability, deployment safety, and operational reliability across AI-powered systems.
Experience building and operating applied AI, LLM, agentic, or decisioning systems in production environments.
Own and improve production AI 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.

5-8+ years of experience building software systems in production environments, with a strong track record of owning and delivering complex technical solutions.
Proven ability to translate complex operational requirements and real-world data into reliable, shipped products.
Demonstrated ability to balance technical excellence with business impact.

Experience in domains such as marketplaces, pricing optimization, ad technology, credit decisioning, lending, revenue optimization, or operational analytics.
Experience with retrieval systems, prompt engineering, structured generation, model routing, agent architectures, or tool-using AI systems.
Familiarity with modern evaluation frameworks and production monitoring approaches for LLM-based applications.
This position is not eligible for employer-sponsored work authorization.
Applicants must be legally authorized to work in the United States on a permanent basis without the need for current or future visa sponsorship.*
While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions.
If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you.
Opportunities for company-wide connection and events

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.
Experience working within healthcare or similarly complex operational domains.

We are building intelligent systems that automate complex workflows, improve decision-making, and create measurable business impact across critical areas of the organization.

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

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.