Senior Fullstack Engineer - Case Execution

Pivotal Health

Remote regions

US

Salary range

$190,000–$220,000/yr

Benefits

Unlimited PTO

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About the Role:

  • As a Senior Fullstack Engineer, you will own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.
  • You'll work on workflow-heavy systems that coordinate case staging, routing, and execution, ensuring correctness and reliability.
  • This role is primarily backend-focused, but you'll also contribute to internal-facing UI and ops tooling.

Who You Are:

  • You have 5+ years of fullstack engineering experience with a backend focus and strong fundamentals in data-heavy, workflow-oriented systems.
  • You're comfortable with complex, data-driven decision logic and modern React-based applications.
  • You're self-directed, collaborative, and able to thrive in a fast-moving startup environment.

Success Looks Like:

  • Navigating complex eligibility and batching logic and making sound decisions in ambiguous technical territory.
  • Owning workflow-heavy backend systems end to end and partnering effectively with engineering, product, and adjacent teams.
  • Bringing strong judgment to evolving technical problems and helping the team move faster.

Why You'll Love Working Here:

  • We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
  • We offer competitive compensation including equity, full health/dental/vision coverage, 401(k), flexible time off, and opportunities for company-wide connection.
  • We're building something meaningful, and we want you on the team.

Pivotal Health

Pivotal Health is a technology platform that helps healthcare providers get paid fairly by simplifying complex reimbursement workflows through an AI-driven platform. They are a collaborative, low-ego team, primarily hiring around Los Angeles and New York but open to exceptional talent elsewhere.

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