Startups · AI

Staff Full Stack Engineer - Case Strategy

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

We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work.

What they're looking for

  • A strong product-minded software engineer who likes building things that users feel directly
  • Full stack, but your center of gravity is backend systems and product logic
  • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity
  • High ownership mindset and enjoy driving work from rough idea to production
  • Care about product quality, not just technical elegance
  • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development
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 hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product...

Read the full posting on Pivotal Health's site ↗

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