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
- 8+ years of software engineering experience with strong backend depth and the range to work across full-stack product surfaces and across domains, since this platform will span authorization, messaging, model operations, and data ingestion
- Track record of owning architectural decisions on complex production systems that multiple teams rely on, especially customer-facing or cross-functional ones
- Proficient in Python or able to demonstrate strong backend depth in a Python-based technical interview
- Strong hands-on experience designing and operating cloud-native systems, GCP preferred
- Experience with relational data modeling and schema evolution in systems where a wrong migration is expensive
- Strong product instincts: you judge a system by whether it is useful and correct, and elegance comes second
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...
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