Note: The job is a remote job and is open to candidates in USA. Pivotal Health is hiring a Staff Software Engineer to develop and validate new products for its healthcare reimbursement platform. The role turns customer feedback into prototypes, scales successful experiments into production systems, and sets technical direction for new products.

Responsibilities

• Join customer calls and site visits, and turn what you hear into working prototypes, often in the same week
• Build new products from zero to one across backend services, APIs, data pipelines, AI-driven workflows, and React front ends
• Design each experiment with the pod: decide what a prototype needs to prove, instrument it, and read the results honestly
• Decide with the co-founder and Director of Product Engineering when to push forward, change direction, or stop, and bring a strong technical point of view to those decisions
• Take what works from prototype to a production system that the rest of engineering can run and extend
• Set technical direction for new products: architecture, reusable building blocks, and standards that make each new idea faster to start than the last
• Use AI tools as a core part of how you build, debug, and explore, and help the rest of engineering get better at it
• Work with our core platform, data, and operations teams to reuse what already exists instead of rebuilding it

Skills

• You've built and shipped production software for 8+ years, including time building new products from scratch at a startup or on a new-product team
• You're strong on the backend. You know Python (FastAPI or similar) or another modern service language, plus relational databases like PostgreSQL
• You can ship a full product experience on your own. You know enough React and TypeScript to go from idea to finished feature without waiting on anyone
• You learn from customers. You've worked directly with users and changed direction based on what you heard
• You've built with large language models (LLMs) and have good judgment about where they help and where they don't
• You make decisions without perfect information. You're comfortable choosing with what you have, and you revisit those choices when the evidence changes
• Candidates must be authorized to work in the United States without current or future employer sponsorship
• Experience as an early or founding engineer
• Background in healthcare revenue cycle or another operationally complex field (insurance, fintech, logistics)
• Familiarity with our stack: GCP, SQLAlchemy, and React Router/Remix
• Experience with product analytics and experiment design
• Experience building workflow software or internal tools for operations teams

Benefits

• Equity
• Full health, dental, and vision coverage
• Retirement savings plan through 401(k)
• Flexible time off
• Opportunities for company-wide connection and events
• Hybrid work arrangement

Company Overview