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Pivotal Health - Senior Software Engineer Case Execution

의료 수가(보험 상환) 분쟁 자동화 플랫폼인 Pivotal Health의 Case Execution 팀에서 백엔드 시스템을 개발하는 시니어 엔지니어 채용 건입니다. 자격 심사(eligibility), 배칭(batching), 제출, 운영 워크플로우, 클레임 오케스트레이션 등 케이스 처리의 핵심 시스템을 설계·구축하며, 데이터 중심의 복잡한 의사결정 로직과 정확성·순서가 중요한 워크플로우를 다룹니다. Python 기반 백엔드에 강점이 있고 데이터 집약적·워크플로우 지향 시스템을 주도적으로 설계해 본 5년차 이상 개발자에게 적합합니다.

2026.10.08VIEW 49RemoteOK에서 수집
Budget$190,000~$220,000/yr
Difficulty고급
Duration정규직(장기)
Work style원격 가능
Required stack

필요 기술

PythonBackendWorkflow OrchestrationReact
Project brief

프로젝트 내용

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 Senior Software Engineer to join Pivotal's Case Execution team. This team owns critical parts of the case execution workflow, including eligibility, batching, submissions, ops workflows, and claim orchestration. These systems sit at the operational core of how Pivotal delivers outcomes for providers.
This is a strong fit for an engineer who enjoys solving complex, workflow-driven backend problems and working through data-heavy decision logic. The most technically demanding areas for this team are eligibility and batching, and the right person is energized by that kind of work rather than looking to avoid it.
What You'll Do
- Build and improve core case execution systems: Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration. These are the systems that determine how cases move through Pivotal's platform and reach resolution.

- Tackle complex, data-driven backend problems: Work through the decision logic and data-heavy workflows that make eligibility and batching hard, understanding not just how individual systems work, but how they interact across the broader platform.

- Contribute to workflow orchestration: Build and improve the systems that coordinate how cases are staged, routed, and executed end to end, with a clear eye toward correctness and reliability.

- Collaborate cross-functionally: Work closely with the Integrations team, Case Strategy team, and other engineering and product partners to ensure systems are well-connected and aligned with how the broader platform operates.

- Contribute to front-end and admin workflows where needed: The role is primarily backend-focused, but you'll contribute to internal-facing UI and ops tooling where the product requires it.

Who You Are
- 5+ years of software engineering experience with a strong backend focus

- Strong engineering fundamentals with hands-on experience building data-heavy, workflow-oriented systems

- Experience working on complex, data-driven decision logic or orchestration problems: you're comfortable with systems where correctness and sequencing both matter

- Comfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve

- Python experience; able to work effectively in a Python-based backend environment

- Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight

- Strong communicator who collaborates well across engineering, product, and adjacent teams

Extra Credit If You Have
- Experience with healthcare-specific data or HealthTech systems

- Exposure to data-heavy architectures or problems adjacent to data engineering without being a pure data engineer

- Familiarity with tools like Snowflake, dbt, or Databricks

- Some front-end experience to support admin workflow contributions

Why You’ll Love Working Here
We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.
If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.
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.

Employment Information
Work Authorization
Candidates must be authorized to work in the United States without current or future employer sponsorship.
Equal Employment Opportunity
Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.
Reasonable Accommodations
Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know.
Background Checks
Employment is contingent upon successful completion of applicable background checks, where permitted by law.
At-Will Employment
Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

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지원 기회 분석

지원 전에 볼 것

핵심 요구사항

  • 5년 이상 백엔드 중심 소프트웨어 엔지니어링 경력
  • 데이터 집약적·워크플로우 지향 시스템 구축 경험
  • 복잡한 데이터 기반 의사결정 로직 및 오케스트레이션 문제 해결 능력
  • Python 기반 백엔드 환경에서의 실무 역량
  • 스타트업 환경에서의 주도적·자기주도적 업무 수행
  • 크로스펑셔널 협업 및 강한 커뮤니케이션 역량

예상 산출물

  • eligibility·batching·submissions 등 케이스 실행 백엔드 시스템
  • 케이스 라우팅·실행 워크플로우 오케스트레이션 시스템
  • 내부 운영용 UI 및 어드민 툴링

매력 포인트

  • 고단가($190K~$220K/yr)
  • 풀리모트 정규직
  • 명확한 역할·책임 범위

확인할 점

  • 기술스택 태그가 자동 수집된 잡다한 키워드 나열로 실제 스택이 모호함
Client signal

클라이언트 정보

회사 · Pivotal Health / 지역 · New York City
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