Senior Software Engineer – Growth, Onboarding

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🕒 5 days ago

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Pivotal Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

💰 Pre seed on 2024-01

Healthcare Insurance • SaaS • B2B

Pivotal Health is a healthcare technology company that provides the industry’s only full-service Independent Dispute Resolution (IDR) platform, combining software, data, and white-glove services to help providers secure fair reimbursement from payers. Their scalable, integrated SaaS platform automates IDR workflows, connects with major revenue cycle management systems, and manages eligibility, submissions, and appeals on behalf of provider organizations. Pivotal Health serves hospitals and specialty practices with a results-driven, outcome-aligned business model (paid after client success) and emphasizes transparency, high client retention, and measurable revenue recovery.

📋 Description

• Build and own backend systems: Design, implement, and maintain the services and APIs that power provider onboarding, activation, customization workflows, and growth-oriented tooling. Take end-to-end ownership from design through production. • Build practical customer-facing tools: Translate what providers, sales, and marketing need at the earliest stages of the customer lifecycle into reliable, well-designed backend systems and workflows. • Contribute to architectural decisions: Be an active participant in technical planning and design discussions. Bring your implementation perspective and push back when you see a better path. • Partner cross-functionally: Work closely with product, sales, and marketing stakeholders, not just engineering. This team is a key customer touchpoint and the right person is comfortable in that cross-functional environment. • Operate with autonomy: With a small team and real ownership, there's no room for passengers. You'll identify what needs solving and drive your work forward without heavy oversight. • Write reliable, maintainable code: Hold a high bar for code quality, testing, and system design. Build things that hold up as the platform and team scale. • Surface problems early: Communicate blockers, risks, and open questions proactively. Keeping the team aligned is part of doing the job well.

🎯 Requirements

• 5+ years of software engineering experience with a strong backend focus • Solid understanding of backend fundamentals: system design, data modeling, API development, and service reliability • Strong product orientation with good instincts around customer needs and usability: you think about the person using the thing, not just the system underneath it • Python experience preferred; candidates from other backend languages are welcome if they're prepared to interview in Python and ramp quickly • Comfortable working in product-driven environments with cross-functional stakeholders including sales and marketing • Comfortable in greenfield environments with evolving requirements • Self-directed and proactive: you identify problems and drive them to resolution • Strong communicator who surfaces ambiguity early and collaborates well across functions • Experience in early-stage or startup environments where engineers own outcomes, not just tasks

🏖️ Benefits

• 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