Senior Full-Stack Engineer (Case Execution)

The role

The Senior Fullstack Engineer will build and improve core case execution systems including eligibility, batching, submissions, ops workflows, and claim orchestration. This role focuses on backend development and data-heavy decision logic within a workflow-driven platform.

What you will do

• Build and improve core case execution systems including eligibility, batching, submissions, ops workflows, and claim orchestration.
• Tackle complex, data-driven backend problems and decision logic.
• Contribute to workflow orchestration to coordinate how cases are staged, routed, and executed.
• Collaborate cross-functionally with Integrations, Case Strategy, engineering, and product partners.
• Contribute to front-end and admin workflows and internal-facing UI and ops tooling.

Required qualifications

• 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
• Experience contributing to modern React-based applications
• Comfortable operating in a collaborative, fast-moving startup environment
• Python experience
• Self-directed and proactive
• Strong communicator

Nice to have

• Experience with healthcare-specific data or HealthTech systems
• Exposure to data-heavy architectures or problems adjacent to data engineering
• Familiarity with tools like Snowflake, dbt, or Databricks

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.