Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
About the role
We’re looking for an Engineering Manager to lead our Case Strategy Engineering team as we expand one of the most consequential areas of Pivotal’s product. You’ll own the engineering systems that turn data, AI, and machine-learning capabilities into better strategies for offers, IDRE selection, position statements, batching, and other critical decisions across the IDR workflow.
What they're looking for
- You have spent several years (7+ as an IC and 2+ as a manager) building and leading engineering teams in early-stage environments where the structure, roadmap, and technical approach were still being defined
- You bring a strong individual-contributor foundation and enough technical depth to guide architecture, evaluate tradeoffs, and earn the trust of experienced engineers
- You have led the delivery of production AI or ML products, or managed engineering work in close partnership with data-science or applied-science teams
- You understand how to build reliable systems around models, including data pipelines, feedback loops, APIs, monitoring, and the product workflows where model outputs are applied
- You can lead through ambiguity and imperfect data, forming clear points of view without waiting for every question to be resolved
- You know how to manage an experienced, opinionated team—creating clarity and making decisions without shutting down productive disagreement
More about this role
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. 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.
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.
Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey.
We’re looking for an Engineering Manager to lead our Case Strategy Engineering team as we expand one of the most consequential areas of Pivotal’s product. You’ll own the engineering systems that...
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