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Posted Jun 11Senior Applied AI Engineer - Position Statements
Lower Manhattan, United StatesHybrid
Responsibilities
- - Build and refine production workflows around generative AI models, including decisioning, retrieval, and orchestration.
- - Design and run robust evaluation frameworks (evals) and experiments that improve model quality, workflow quality, and business outcomes.
Requirements
- Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
- SUMMARY Pivotal Health is looking for a Senior Applied AI/ML Engineer to build and improve high-impact AI systems that sit directly in our most important product and operational workflows.
- Reporting to the Head of AI/ML Engineering, you will be a key driver in how we use generative AI and intelligence to transform healthcare reimbursement, with a heavy, hands-on focus on building state-of-the-art models.
- We are looking for someone who is AI-first in their own work, eager to help our team establish a strong, AI-native way of working, and committed to developing the robust evaluation frameworks (evals) necessary to ensure our systems are production-ready.
- WHAT YOU’LL DO - Own and improve hands-on applied AI and ML systems that influence our most critical business KPIs and workflows.
- - Utilize AI as a force multiplier in your own work and help the team move faster by bringing strong AI-native habits. WHO YOU ARE -
- Experience with applied ML, LLM systems, agent workflows, or decisioning systems in production. -
- Experience with Python and backend systems that support production AI workflows. -
- Experience with healthcare or other operationally complex industries. - A product-oriented mindset with the ability to move from rough opportunity to concrete execution quickly. NICE TO HAVES -
- Experience in domains like marketplaces, pricing, ad tech, credit decisioning, lending, or revenue optimization. -
- Experience with retrieval, prompt engineering, structured generation, model routing, or tool-using agent workflows.
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.
- You will operate at the intersection of generative models, software, product workflows, and business outcomes.
- Your work will span critical areas such as document generation, dynamic offer engines, and next-generation decisioning systems, where your technical contributions will directly impact our most critical business KPIs.
- This role requires product-oriented applied engineering—the ability to take ambiguous opportunities and turn them into robust, shipped systems that create measurable value.
- This is a role for an engineer who wants to build applied systems, not conduct research in isolation.
- If you thrive on moving from a rough opportunity to concrete execution quickly, you will love working here.
- - Partner with product, operations, and engineering teammates to define success metrics and translate messy real-world problems into buildable systems.