Pivotal Health

Build and own backend and frontend product systems integrating AI and data workflows from concept to production. | Senior full-stack engineer with backend focus, strong product mindset, AI fluency, and ability to work in ambiguous, fast-paced environments. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Build and own backend and frontend product systems integrating AI, data workflows, and APIs from concept to production in a fast-paced environment. | Senior full-stack engineer with backend expertise, strong product mindset, AI tool fluency, and ability to work in ambiguous, high-velocity startup settings. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Design and build backend and frontend product systems with AI-enabled workflows from concept to production. | Senior full-stack engineer with backend focus, strong product mindset, AI tool fluency, and ability to work in ambiguous, fast-paced environments. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Build and own backend and frontend product experiences integrating AI and data workflows from concept to production. | Senior full-stack engineer with strong backend skills, product mindset, AI fluency, and ability to work in ambiguous, fast-paced environments. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Build and own backend and frontend product systems integrating AI and data workflows to deliver new healthcare reimbursement solutions. | Senior full-stack engineer with backend focus, strong API and system design skills, AI tool fluency, and ability to work in ambiguous, fast-paced environments. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Build and own backend and frontend product features integrating AI and data workflows in a fast-paced startup environment. | Strong backend and full-stack engineering skills, product mindset, AI tool fluency, and ability to work in ambiguous, high-velocity settings. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Design and build backend and frontend product experiences with AI-driven workflows in a fast-paced, ambiguous environment. | Senior full-stack engineer with strong backend skills, product mindset, AI tool fluency, and ability to work cross-functionally in a startup-like setting. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they're often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they're entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We're building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products at Pivotal from the ground up. This role sits on the AI focused Case Strategy, working on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. We're looking for someone comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work. This is a high-ambiguity, high-velocity role. You won't be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane; you'll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. We're also looking for someone who is AI-first in how they work: personally fluent with AI tools, able to use them to move faster, think better, and build stronger products, and help the company get dramatically better at using AI overall. The problems here are real, messy, and close to actual customer and business pain, not speculative side projects. This team sits at the intersection of AI, product, data, and operations, which creates unusual leverage for a strong engineer. You'll have genuine room to shape direction and use both sides of your skill set: deep backend engineering and pragmatic full-stack product development. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product • Prototype quickly, then harden what works into maintainable product systems • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage • Help define product requirements through direct technical judgment, not just implementation after decisions are made • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts Who You Are • A strong product-minded software engineer who likes building things that users feel directly • Full stack, but your center of gravity is backend systems and product logic • Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity • High ownership mindset and enjoy driving work from rough idea to production • Care about product quality, not just technical elegance • An AI power user yourself, with strong judgment about how it can accelerate engineering and product development • A clear communicator who works well with cross-functional partners • Motivated by an environment where a great engineer can have outsized impact very quickly Extra Credit Experience • Strong backend experience in Python, FastAPI, or similar service-oriented systems • Experience building product backends, APIs, integrations, and data-heavy application logic • Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks • Experience with PostgreSQL, SQLAlchemy, or other relational data systems • Experience with GCP or similar cloud environments • Experience building AI-powered products, internal tools, workflow software, or operational software • Experience in fast-moving startup environments where engineers help define the product, not just implement it • Experience in healthcare, fintech, logistics, or other operationally complex domains Why You'll Love Working Here We're a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs-Los Angeles and New York-we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you. Benefits Include: • 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 Ready to Make an Impact?We're building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Design, build, and operate platform components and partner with product teams to improve delivery speed. | 5+ years in fullstack/backend/platform engineering with strong coding skills, preferably Python, and experience with cloud-native systems and event-driven architectures. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role The product platform is the layer other product teams build on. Today that means identity and access, including customer SSO, invitations, and sessions; the organization and tenancy model; the shared services, APIs, and schemas that carry customer data between products; and the developer experience, including the tooling and agent workflows engineers use to ship. The scope grows whenever product teams need a capability that should be built once. Role-based access control, email infrastructure, the production path for the models our products depend on, and likely data ingress are next in line. When this layer is right, product teams move faster and customers have a better experience. This role is for engineers who think deeply about systems and can explain why a solution works as well as how to build it. You'll own components and services within the platform end to end, partner closely with product engineering, data, and infrastructure teams, and make the architectural decisions that keep the platform reliable and extensible as the business takes on more customers and more complexity. Expect us to ask about a system you built: who used it, why they cared, and what you would have built differently had you understood that sooner. What You'll Do Own platform components end to end: Design, build, and operate services, libraries, and schemas within the platform, from design through production, with clear ownership of their reliability and evolution. Design for extension and reuse: Build composable abstractions and well-defined interfaces so product teams can extend the platform without forking it or waiting on you. Design scalable, reliable system interactions: Contribute to the design of system interactions and data flows, making architectural decisions that balance scalability, reliability, security, and performance as the platform evolves. Improve reliability and operational signal: Build and evolve monitoring, alerting, dashboards, and testing pipelines that surface meaningful signal rather than noise. Reduce toil: Identify repeating patterns across teams and make them composable through better abstractions or new tooling, including AI-assisted tooling where it helps. Partner with product teams: Work as an embedded partner to feature teams, unblock delivery, and make sure platform decisions reflect what those teams actually need. Who You Are 5+ years of experience in fullstack, backend or platform software engineering Strong software engineering foundation with solid coding skills; Python preferred Hands-on experience designing and operating cloud-native systems; GCP preferred Experience with relational databases and data modeling, including schema evolution in production Familiarity with event-driven architectures (Kafka, Pub/Sub, Kinesis, or similar) Range to move between domains such as authorization, messaging infrastructure, and data pipelines without needing each to be familiar first Strong product instincts: you judge a system by whether it is useful and correct, and elegance comes second You want to know why a customer cares before you build, and you go find out: from product, from support, from the customer directly Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight Comfortable in greenfield environments with evolving requirements and ambiguous ownership Low-ego and collaborative by default: direct, open to feedback, and more interested in shipping great work than in being right Extra Credit Experience Identity and access systems (OIDC, SAML, SSO, sessions) or authorization models such as RBAC Transactional email or messaging infrastructure, including deliverability and bounce handling Data ingestion pipelines, or the tooling that moves ML models from experiment to production Internal libraries, SDKs, or developer tooling that other teams adopted Automation or AI-assisted tooling that reduced operational toil TypeScript and React, enough to work across the products the platform serves Startup or early-stage experience where engineers own outcomes rather than tickets FinTech, HealthTech, or other regulated industries Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: 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 Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Own and improve core case execution systems with cross-functional collaboration to build reliable data-driven workflows. | 5+ years fullstack experience with backend focus, proficiency in Python and React, and ability to work in fast-moving startup. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the Role We're hiring a Senior Fullstack Engineer to join Pivotal's Case Execution team. This team owns critical parts of the case execution workflow, including eligibility, batching, submissions, ops workflows, and claim orchestration. These systems sit at the operational core of how Pivotal delivers outcomes for providers. This is a strong fit for an engineer who enjoys solving complex, workflow-driven backend problems and working through data-heavy decision logic. The most technically demanding areas for this team are eligibility and batching, and the right person is energized by that kind of work rather than looking to avoid it. What You'll Do Build and improve core case execution systems: Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration. These are the systems that determine how cases move through Pivotal's platform and reach resolution. Tackle complex, data-driven backend problems: Work through the decision logic and data-heavy workflows that make eligibility and batching hard, understanding not just how individual systems work, but how they interact across the broader platform. Contribute to workflow orchestration: Build and improve the systems that coordinate how cases are staged, routed, and executed end to end, with a clear eye toward correctness and reliability. Collaborate cross-functionally: Work closely with the Integrations team, Case Strategy team, and other engineering and product partners to ensure systems are well-connected and aligned with how the broader platform operates. Contribute to front-end and admin workflows: The role is primarily backend-focused, but you'll contribute to internal-facing UI and ops tooling where the product requires it. Who You Are 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 working on complex, data-driven decision logic or orchestration problems: you're comfortable with systems where correctness and sequencing both matter Experience contributing to modern React-based applications Comfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve Python experience; able to work effectively in a Python-based backend environment Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight Strong communicator who collaborates well across engineering, product, and adjacent teams Extra Credit If You Have Experience with healthcare-specific data or HealthTech systems Exposure to data-heavy architectures or problems adjacent to data engineering without being a pure data engineer Familiarity with tools like Snowflake, dbt, or Databricks What Success Looks Like You can navigate complex eligibility and batching logic and make sound decisions in ambiguous technical territory You're comfortable owning workflow-heavy backend systems end to end You partner effectively with engineering, product, and adjacent teams without needing heavy coordination overhead You bring strong judgment to evolving technical problems and help the team move faster as a result Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: 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 Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.

Build and own the company's security program, establish strategy and policies, embed security into platform, and lead compliance efforts. | 8+ years in security with cloud, infrastructure, and application security experience and compliance framework expertise. | About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. About the role We're hiring Pivotal's Head of Security, a senior leader who will own the company's security program from the ground up. This is a rare opportunity to define what security looks like at a fast-growing, AI-native healthcare technology company handling sensitive provider data and complex financial workflows. This role sits at the intersection of strategy, engineering, compliance, and customer trust. You'll work closely with key stakeholders across the organization to embed security across the organization. Not just as a technical function, but as a core part of how Pivotal builds, operates, and earns the confidence of the providers and partners it serves. You'll bring enough technical depth to engage credibly with our engineering teams, and enough breadth to set organizational strategy, navigate the regulatory landscape, and represent Pivotal's security posture to customers, auditors, and key stakeholders. If you're energized by building something meaningful from scratch and want your work to matter beyond a checklist, this is the role for you. What you'll do Build and own Pivotal's security program Establish the strategy, policies, processes, and roadmap that define Pivotal's security posture. Identify the company's most critical assets, prioritize risk accordingly, and build a program that scales alongside a fast-growing platform and team. Partner with engineering to embed security into the platform Work closely with engineering and infrastructure teams to ensure security is built into how we design, develop, and deploy — from cloud architecture and CI/CD pipelines to data access controls and third-party integrations. You'll advocate for secure-by-design practices without slowing the team down. Lead compliance and regulatory readiness Own Pivotal's approach to relevant compliance frameworks, including SOC 2 and HIPAA. Translate regulatory requirements into actionable engineering and operational controls, lead audit preparation, and serve as the primary point of contact during security reviews. Stay ahead of the threat landscape Keep a close eye on the evolving security environment — emerging threats, new attack vectors, regulatory changes, and industry best practices. Bring that awareness into how Pivotal prioritizes and evolves its defenses over time. Interface with customers and external stakeholders Represent Pivotal's security program directly to customers, partners, and prospects. Answer security questionnaires, lead trust reviews, and give customers confidence that their data — and their providers' data — is in safe hands. Drive security awareness across the organization Champion a security-conscious culture companywide. Work with teams outside of engineering — including finance, operations, and people — to ensure security practices extend beyond the codebase and into how the whole organization operates. Develop guidelines for emerging technologies As an AI-native company, Pivotal is actively building with and around LLMs and AI tooling. Help define the guardrails for responsible, secure use of these technologies — both in our product and in our internal workflows. Who you are 8+ years of experience in security, with meaningful exposure to both technical implementation and program-level strategy Strong working knowledge of cloud security, infrastructure security, and application security fundamentals, enough to engage credibly with engineering teams and evaluate tradeoffs Experience building or significantly maturing a security program, ideally at an early-stage or high-growth company Hands-on experience with compliance frameworks (SOC 2, HIPAA, or similar) including control design, audit preparation, and ongoing management Comfortable representing security externally to customers, auditors, and partners with the communication skills to make complex topics accessible A collaborator and influencer, not just a gatekeeper: you know how to bring stakeholders along and build trust across functions Comfortable operating in ambiguity and building from scratch: you're energized by greenfield work, not slowed down by it Up to date on the current threat landscape, security tooling, and best practices: you stay informed and bring that knowledge into your work Extra credit if you have Experience in HealthTech, FinTech, or other regulated industries handling sensitive data Background working with financial systems, payments infrastructure, or data-intensive platforms Familiarity with AI/LLM security considerations and responsible AI deployment practices Experience managing or growing a security team Why You’ll Love Working Here We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: 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 Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.