About Pivotal Health

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.

About the Role

We're hiring a back-end leaning Senior Full-Stack Engineer, Case Strategy 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.

 

This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall.

 

The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development.

What You'll Do

• Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows

• Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows