engineering
Posted 2 hours agoSenior Fullstack Engineer - Growth + Onboarding
Lower Manhattan, United StatesHybrid
Responsibilities
- - Own the Integrations surface: Take end-to-end engineering ownership of the systems that connect Pivotal's platform to customers, external data sources, healthcare platforms,, and any partner APIs.
- Ensure integrations are reliable, scalable, and maintainable as the catalog grows. - Join customer and partner conversations: Be the technical voice in discovery and scoping conversations with customers and external partners.
- - Build lightweight process and rituals: Establish and evolve team workflows that improve focus and predictability without unnecessary ceremony.
Requirements
- Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
- Who You Are - Bachelor's degree in STEM preferred; additional
- experience in lieu of a degree is also accepted - 6+ years of professional software engineering experience, including recent hands-on backend work - 2+ years of
- experience managing and developing engineers -
- Experience working in product-driven environments with close product partnership - Strong technical judgment with a bias toward pragmatic, shippable solutions - Able to balance near-term delivery with longer-term technical health - Clear communicator who builds trust across engineering, product, and external partners - Thrives in early-stage or scaling environments where structure is evolving Extra Credit Experience -
- Experience in healthcare integrations: EDI workflows (835/837), HL7/FHIR, ICD-10/CPT codes, or platforms like Epic or Cerner - Background in integration-heavy or forward-deployed engineering roles where customer proximity was part of the job -
- Experience with SFTP-based ingestion, data sharing pipelines, or clinical data access systems - Familiarity with Python in production backend environments -
- Experience at a Series A or early-stage startup where priorities evolve quickly and leaders wear multiple hats - Background in FinTech, healthcare, or another highly regulated industry - Familiarity with Python a plus WHY YOU’LL LOVE WORKING HERE We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
Benefits
- 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.
- Benefits Include: - Competitive compensation, including equity - Full health, dental, and vision coverage - Retirement savings plan through 401(k) - Flexible time off - Opportunities for company-wide connection and events Ready to Make an Impact? We’re building something meaningful; and we want you on the team.
- Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.
- Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer.
Additional details
- 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.
- 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 hands-on Engineering Manager to lead Pivotal's Integrations team, a backend-focused group building the infrastructure that connects our platform to the external systems our clients and providers depend on, including healthcare data sources, EHR platforms, billing systems, and partner APIs.
- This team is new and still taking shape, which means the right EM isn't just leading a function, they're helping define it.
- You'll be involved in customer and partner conversations, shaping how the team approaches integration problems at a technical and product level, and building a team that can work fluidly across messy real-world data, evolving requirements, and close customer collaboration.
- You will write code, drive delivery, and raise the bar for engineering quality today while also developing the team and establishing strong practices as we scale.
- If you're energized by greenfield scope, external-facing work, and the challenge of building something new, this role is for you.
- What You'll Do - Stand up and shape a new team: Help define how the Integrations function operates (hiring, scope, rituals, and engineering culture) while the team is still being built and ownership boundaries are still being established.