Startups · AI

Senior Fullstack Engineer - Product Platform Engineering

Pivotal Health · Santa Monica, CA · Remote

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About Pivotal Health

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

The product platform is the layer other product teams build on. Today that means identity and access, including customer SSO, invitations, and sessions; the organization and tenancy model; the shared services, APIs, and schemas that carry customer data between products; and the developer experience, including the tooling and agent workflows engineers use to ship. The scope grows whenever product teams need a capability that should be built once.

What they're looking for

  • 5+ years of experience in fullstack, backend or platform software engineering
  • Strong software engineering foundation with solid coding skills, Python preferred
  • Hands-on experience designing and operating cloud-native systems, GCP preferred
  • Experience with relational databases and data modeling, including schema evolution in production
  • Familiarity with event-driven architectures (Kafka, Pub/Sub, Kinesis, or similar)
  • Range to move between domains such as authorization, messaging infrastructure, and data pipelines without needing each to be familiar first
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.

The product platform is the layer other product teams build on. Today that means identity and access, including customer SSO, invitations, and sessions; the organization and tenancy model; the...

Read the full posting on Pivotal Health's site ↗

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