Engineering Manager (Infrastructure)

The role

You will lead the Infrastructure team, owning infrastructure as code, deployment pipelines, and reliability. You will manage an experienced team and build agentic-first CI/CD workflows using AI agents.

What you will do

• Lead an experienced engineering team
• Grow and structure the team
• Drive predictable delivery
• Balance building and maintaining systems
• Own infrastructure as code using Terraform on GCP
• Own CI/CD pipelines from GitHub to Cloud Run
• Build agentic-first CI/CD workflows with AI agents
• Drive uptime and reliability
• Define monitoring, alerting, and observability
• Run a healthy on-call rotation

Required qualifications

• 8+ years supporting highly available production systems, including debugging production issues under pressure
• 1-3 years as a tech lead and/or engineering manager
• Hands-on infrastructure experience, including Infrastructure as Code with Terraform
• Observability and on-call experience
• Working experience with GCP, GitHub, and serverless platforms like Cloud Run
• Real day-to-day AI fluency
• Experience on a small team where you owned systems end to end
• Experience leading through ambiguity
• Experience managing an experienced, opinionated team
• A clear communicator

Nice to have

• Experience leading architecture and scaling decisions for deployment systems
• Experience scaling an early engineering team
• A startup or agency background working across many different stacks and problems
• Experience building AI-agent-driven or AI-assisted developer workflows
• Experience in healthcare, provider reimbursement, revenue-cycle management, claims, or Independent Dispute Resolution

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 the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They combine software, data, and service into an AI-driven platform to simplify reimbursement workflows.