Senior Software Engineer – Case Execution

🕒 August 4

🇺🇸 United States – Remote

💵 $190k - $220k / year

⏰ Full Time

🟠 Senior

🧑‍💻 Full-stack Engineer

👻 Ghost score 24%

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, ops workflows, and claim orchestration • Work through decision logic and data-heavy workflows across the broader platform • Build and improve systems that coordinate how cases are staged, routed, and executed end to end • Collaborate with the Integrations team, Case Strategy team, and engineering and product partners • Contribute to internal-facing UI and ops tooling where needed

🎯 Requirements

• 5+ years of software engineering experience with a strong backend focus • Strong engineering fundamentals and hands-on experience building data-heavy, workflow-oriented systems • Experience with complex, data-driven decision logic or orchestration problems • Comfortable in a collaborative, fast-moving startup environment • Python experience and ability to work effectively in a Python-based backend environment • Self-directed and proactive, able to drive problems to resolution without heavy oversight • Strong communication and collaboration across engineering, product, and adjacent teams • Healthcare-specific data or HealthTech systems experience is an advantage • Exposure to data-heavy architectures or adjacent data engineering problems is an advantage • Familiarity with Snowflake, dbt, or Databricks is an advantage • Some front-end experience is an advantage • Must be authorized to work in the United States without current or future employer sponsorship • Successful completion of applicable background checks

🏖️ 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