Startups · AI

Staff Software Engineer (New Products)

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 pod runs on short loops. You'll hear a problem on a customer call, have a prototype in that customer's hands within a week or two, and then use what they do with it to decide what's next. Some ideas will turn into products. Many won't, and dropping those quickly counts as a good result. You'll help make those calls as a peer, not just carry them out. Found on 1752vc Careers, the job board for startup and VC roles.

What they're looking for

  • You’ve built and shipped production software for 8+ years , including time building new products from scratch at a startup or on a new-product team
  • You’re strong on the backend. You know Python (FastAPI or similar) or another modern service language, plus relational databases like PostgreSQL
  • You can ship a full product experience on your own. You know enough React and TypeScript to go from idea to finished feature without waiting on anyone
  • You learn from customers. You’ve worked directly with users and changed direction based on what you heard
  • You’ve built with large language models (LLMs) and have good judgment about where they help and where they don’t
  • You make decisions without perfect information. You’re comfortable choosing with what you have, and you revisit those choices when the evidence changes
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 pod runs on short loops. You'll hear a problem on a customer call, have a prototype in that customer's hands within a week or two, and then use what they do with it to decide what's next. Some...

Read the full posting on Pivotal Health's site ↗

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