Staff Software Engineer (New Products)

The role

You will build new products from zero to one using backend services, APIs, data pipelines, AI-driven workflows, and React front ends. You will join customer calls to create working prototypes and decide with leadership when to scale or pivot products.

What you will do

• Join customer calls and site visits to turn feedback into working prototypes
• Build new products from zero to one across backend services, APIs, data pipelines, AI-driven workflows, and React front ends
• Design and instrument experiments with the pod to read results
• Decide with the co-founder and Director of Product Engineering when to push forward, change direction, or stop
• Take successful prototypes to production systems
• Set technical direction for new products including architecture and standards
• Use AI tools to build, debug, and explore
• Work with core platform, data, and operations teams to reuse existing tools

Required qualifications

• 8+ years building and shipping production software
• Experience building new products from scratch at a startup or on a new-product team
• Strong backend skills with Python (FastAPI or similar) or another modern service language
• Knowledge of relational databases like PostgreSQL
• Ability to ship a full product experience using React and TypeScript
• Experience working directly with users and changing direction based on feedback
• Experience building with large language models (LLMs)
• Ability to make decisions without perfect information
• Authorized to work in the United States without current or future employer sponsorship

Nice to have

• Experience as an early or founding engineer
• Background in healthcare revenue cycle or another operationally complex field (insurance, fintech, logistics)
• Familiarity with GCP, SQLAlchemy, and React Router/Remix
• Experience with product analytics and experiment design
• Experience building workflow software or internal tools for operations teams

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

Before you apply

• Candidates must be authorized to work in the United States without current or future employer sponsorship
• Employment is contingent upon successful completion of applicable background checks, where permitted by law

About the company

Pivotal Health is a technology platform that helps healthcare providers get paid fairly through an AI-driven platform that simplifies complex reimbursement workflows.