# Engineering Manager, Case Strategy at Pivotal Health

- Company: Pivotal Health
- What the company does: Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
- Company website: https://pivotalhealth.ai/
- Type: Startups (AI role)
- Level: Senior
- Location: Remote - US
- Work setup: Remote
- Pay: $210K to $230K base salary per year (USD)
- Posted: 2026-09-21
- Apply by: 2026-11-05
- Apply: https://jobs.ashbyhq.com/pivotal-health/d212af79-8c6b-4754-8f44-d6a600830386
- Page: https://www.1752.vc/careers/jobs/pivotal-health-engineering-manager-case-strategy/

## 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

Tags: Engineering