engineering
Posted Apr 23Staff Software Engineer - Systems Intergration
Santa Monica, United StatesHybrid
Requirements
- Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
- WHAT YOU'LL DO - Lead the architecture and build of greenfield integrations: Design and implement our ERP and Salesforce integrations from the ground up.
- experience with a strong backend focus - Proven track record of owning architectural decisions on complex, production systems -
- Experience building integrations with third-party platforms: ERPs, CRMs, financial systems, or similar - Strong understanding of financial or payments systems: you understand how money moves and what correctness means in that context -
- Experience with transactional systems and distributed architecture is a plus. - Comfortable in greenfield environments: you can operate without established playbooks and make sound decisions in ambiguity - Self-directed and highly communicative: on a small team, you don't wait to be told what to do next - Startup or early-stage
- experience with Salesforce or ERP integrations (e.g., NetSuite, Sage, QuickBooks) - Background in FinTech, payments, or billing systems -
- Experience growing into or functioning as a tech lead on a small, fast-moving engineering team WHY YOU’LL LOVE WORKING HERE We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
Experience
- WHO YOU ARE - 7+ years of software engineering
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.
- experience: you understand what it means to build in an environment where organizational infrastructure is still taking shape EXTRA CREDIT IF YOU HAVE - Direct
- 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 Staff Software Engineer to join Pivotal's brand new Systems Integration team, a small, technical group focused on how money moves through our platform and into the hands of the providers we serve.
- This is a greenfield role with real architectural ownership: you'll be building integrations from scratch, making foundational technical decisions, and setting the patterns the team will build on for years to come.
- If you want to work on a hard problem with a strong team, real ownership, and room to grow, this is it.
- You'll make the foundational architectural decisions, evaluate tradeoffs, and document the reasoning behind them, building systems that are scalable, maintainable, and fit for a fast-growing platform. - Own the technical direction for money movement logic: Build the business logic that determines how funds are calculated and distributed: how much goes to the client, how much flows through the IDR system, and how refunds are handled after billing.
- This is core infrastructure with direct financial impact. - Drive technical decision-making and documentation: As a technical leader on a small team, you'll be expected to define standards, write supporting documentation, and ensure the team's technical decisions are clearly reasoned and well-recorded.
- You set the bar for how the team builds. - Stay hands-on: This is not an ivory tower architecture role.