# Senior Fullstack Engineer - Case Execution 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: $190K to $220K base salary per year (USD)
- Posted: 2026-09-10
- Apply by: 2026-10-25
- Apply: https://jobs.ashbyhq.com/pivotal-health/d8b259dc-5776-404c-8508-1afd6ec13c46
- Page: https://www.1752.vc/careers/jobs/pivotal-health-senior-fullstack-engineer-case-execution/

## About the role

We're hiring a Senior Fullstack Engineer to join Pivotal's Case Execution team. This team owns critical parts of the case execution workflow, including eligibility, batching, submissions, ops workflows, and claim orchestration. These systems sit at the operational core of how Pivotal delivers outcomes for providers.

## What they're looking for

- 5+ years of fullstack software engineering experience with a backend focus
- Strong engineering fundamentals with hands-on experience building data-heavy, workflow-oriented systems
- Experience working on complex, data-driven decision logic or orchestration problems: you're comfortable with systems where correctness and sequencing both matter
- Experience contributing to modern React-based applications
- Comfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve
- Python experience, able to work effectively in a Python-based backend environment

Tags: Engineering