Pivotal Health

Engineering Manager - Integrations

Lower Manhattan, NY · Contract

No sponsorshipDetected 34 days ago

PythonAgileEpicCernerHL7/FHIREHR/EMRICD-10Communication

About the role

This team is new and still taking shape, which means the right EM isn't just leading a function, they're helping define it.

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.
Partner deeply with product: Collaborate closely with product to gather requirements, clarify scope, and translate integration needs into executable technical plans. Help shape solutions early rather than reacting late.
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.

Bachelor's degree in STEM preferred
additional experience in lieu of a degree is also accepted
6+ years of professional software engineering experience, including recent hands-on backend work
2+ years of experience managing and developing engineers
Familiarity with Python a plus

Able to ask the right technical and business questions in discovery conversations and translate what you learn into engineering direction
Comfortable shaping team scope, contributing to hiring, and helping define a function that is still emerging
Experience working in product-driven environments with close product partnership
Strong technical judgment with a bias toward pragmatic, shippable solutions
Able to balance near-term delivery with longer-term technical health
Thrives in early-stage or scaling environments where structure is evolving
Extra Credit Experience
Experience in healthcare integrations: EDI workflows (835/837), HL7/FHIR, ICD-10/CPT codes, or platforms like Epic or Cerner
Experience with SFTP-based ingestion, data sharing pipelines, or clinical data access systems
Familiarity with Python in production backend environments
Experience at a Series A or early-stage startup where priorities evolve quickly and leaders wear multiple hats
Background in FinTech, healthcare, or another highly regulated industry

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.
Own the Integrations surface: Take end-to-end engineering ownership of the systems that connect Pivotal's platform to customers, external data sources, healthcare platforms,, and any partner APIs.

Be the technical voice in discovery and scoping conversations with customers and external partners.
Ask the right questions, understand integration requirements deeply, and bring that context back into engineering execution.
Join customer and partner conversations: Be the technical voice in discovery and scoping conversations with customers and external partners.
Background in integration-heavy or forward-deployed engineering roles where customer proximity was part of the job

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.