Senior Fullstack Engineer – Case Execution

🕒 September 10

🏄 California, New York – Remote

🏄 California – Remote 🗽 New York – Remote

💵 $190k - $220k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 20%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Pivotal Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Pre seed on 2024-01

Healthcare • Consulting • Logistics

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

• Own backend development across eligibility, batching, submissions, operations workflows, and claim orchestration • Solve complex, data-driven backend problems involving eligibility and batching decision logic • Build and improve workflow orchestration systems that stage, route, and execute cases end to end • Collaborate with the Integrations team, Case Strategy team, and engineering and product partners • Contribute to internal-facing UI and operations tooling where required • Navigate complex eligibility and batching logic and make sound decisions in ambiguous technical situations • Own workflow-heavy backend systems end to end

🎯 Requirements

• 5+ years of fullstack software engineering experience with a backend focus • Strong engineering fundamentals with hands-on experience building data-heavy, workflow-oriented systems • Experience with complex, data-driven decision logic or orchestration problems • Experience contributing to modern React-based applications • Comfortable operating in a collaborative, fast-moving startup environment • Python experience and ability to work effectively in a Python-based backend environment • Self-directed and proactive • Strong communication and cross-functional collaboration skills • Candidates must be authorized to work in the United States without current or future employer sponsorship • Successful completion of applicable background checks, where permitted by law

🏖️ 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