SlipstreamJobs tracks this role from the company's public career site. Apply directly on the employer's site.
Pivotal Health is a technology platform helping healthcare providers navigate complex reimbursement landscapes and dispute underpaid claims through an AI-driven, full-service solution. The company combines software, data, and service to simplify workflows around Independent Dispute Resolution (IDR) and broader reimbursement operations.
The Case Execution team owns critical backend systems that form the operational core of Pivotal's platform, including eligibility determination, claim batching, submissions, ops workflows, and claim orchestration. These systems directly determine how cases move through the platform and reach resolution.
As a Senior Software Engineer on this team, you will own backend development across the full case execution stack. You'll tackle complex, data-driven problems—particularly in eligibility and batching logic—where correctness and sequencing are paramount. The role involves building and improving workflow orchestration systems that coordinate case staging, routing, and end-to-end execution.
You'll collaborate closely with the Integrations team, Case Strategy team, and other engineering and product partners to ensure systems are well-connected and aligned across the platform. While primarily backend-focused (Python-based), you'll also contribute to internal-facing UI and ops tooling where needed.
The ideal candidate has 5+ years of software engineering experience with strong backend fundamentals and a track record building data-heavy, workflow-oriented systems. You're comfortable with complex decision logic and orchestration problems, thrive in a collaborative, fast-moving startup environment, and are self-directed in identifying and driving problems to resolution. Healthcare domain experience, familiarity with data-heavy architectures (Snowflake, dbt, Databricks), or front-end capabilities are valued but not required.
