# Senior Software 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: 2026-08-04
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/pivotal-health/5984f6bb-78f2-4d68-a907-dcd5b80d2831
- Page: https://www.1752.vc/careers/jobs/pivotal-health-senior-software-engineer-case-execution/

## About the role

We're hiring a Senior Software 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 software engineering experience with a strong 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
- 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
- Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight

Tags: Engineering