Jobs at Pivotal Health

Lead architecture and implementation of integrations connecting the platform to EHRs, billing systems, SFTP/data feeds, and partner APIs. Ship production backend systems, design resilient pipelines for messy healthcare data, drive technical standards, collaborate cross-functionally, and mentor engineers while partnering with product and customers to translate ambiguous requirements into executable plans.

Lead and build a new backend-focused Integrations team owning end-to-end connections to EHRs, billing systems, and partner APIs. Act as a player-coach: write code, drive delivery, participate in customer/partner discovery, partner with product, and establish team practices, hiring, and technical direction.

Own product reporting and dashboards for IDR operations (win rates, collections, cash flow). Build BI dashboards, run and track experiments, define standardized metrics, investigate trends, surface root causes, make data-driven recommendations, ensure data integrity, and automate reporting to support Product, Operations, Finance, and Client Success.

Lead a Client Success pod managing CSMs and a portfolio of strategic accounts. Drive retention, expansion, account health, escalations, playbooks, and cross-functional feedback to Product, Sales, and Operations while coaching the team and scaling processes.

Sell Pivotal Health's reimbursement and IDR platform to hospitals and health systems across the Western US. Generate pipeline, manage complex multi-stakeholder sales cycles, build executive relationships, lead negotiations and contracting, maintain CRM hygiene (Salesforce), and partner with Customer Success for smooth onboarding and expansions.

Build and own backend services, pipelines, and APIs that integrate Pivotal's platform with external healthcare systems and billing tools. Handle messy clinical and financial data, contribute to architecture, work autonomously with product and stakeholders, ensure code quality, and drive integrations from design to production.

Own operations and strategy for enterprise hospital clients: monitor data, resolve delivery and payment issues, build dashboards and analyses in BigQuery/Metabase, partner with Client Success and cross-functional teams, lead projects, mentor analysts, and create scalable playbooks to improve IDR and reimbursement outcomes.

Lead design and productionization of decisioning systems that impact pricing, offers, routing, and economics. Build models, heuristics, optimization logic, and evaluation frameworks. Design and run production experiments, translate business objectives into measurable decision systems, create feedback loops linking model and product outcomes, and partner with engineers to ship model-backed logic and configurable rules. Use AI to accelerate work and balance rigor with rapid iteration.

Design, scale, and harden the platform by evolving cloud architecture, building IaC and automation, improving reliability and observability, securing CI/CD and toolchains, and partnering with engineering teams to remove toil and enable scalable, event-driven systems.

Own end-to-end operations for a portfolio of enterprise clients: monitor data, surface trends, resolve issues, build dashboards and analyses in BigQuery/Metabase, partner with Client Success, lead cross-functional IDR and payer compliance projects, and create playbooks and automations to scale operations.

Lead and build the Growth & Onboarding engineering team as a hands-on manager. Own onboarding, customization, and benchmarking systems; write code, perform reviews, drive delivery, partner with product, sales, and marketing, establish team rituals and processes, and coach engineers to improve execution and product-facing experience.

Lead and own architecture, build backend integrations and production data pipelines (EHRs, billing, SFTP, partner APIs), translate ambiguous requirements into plans, collaborate cross-functionally, mentor engineers, and drive integration standards and reliability.

Design, build, deploy, and optimize production AI/LLM systems and workflow platforms. Create evaluation and experimentation frameworks, translate business needs into scalable solutions, improve retrieval/prompting/agent behavior, and ensure observability, reliability, and measurable business impact while accelerating AI adoption across teams.

Sell Pivotal Health's reimbursement and IDR platform to hospitals and health systems across the Midwest. Generate pipeline with CFOs and revenue cycle leaders, manage complex multi-stakeholder sales cycles, own account strategy and forecasting, support negotiations and contracting, maintain executive relationships, partner with Customer Success for onboarding and expansion, and improve sales motion and CRM hygiene (Salesforce).

Build and own backend services and APIs that power provider onboarding, activation, customization, and growth tooling. Design, implement, and maintain reliable, testable systems; contribute to architecture; partner with product, sales, and marketing; operate autonomously; and prioritize code quality, monitoring, and scalability to drive customer activation and growth.

Lead cross-functional AI adoption: identify high-leverage opportunities, prototype AI-powered workflows, build lightweight internal tools, create reusable patterns/templates and guardrails, enable non-technical teams with onboarding and training, and partner with AI platform to operationalize solutions.

Drive new enterprise sales into hospitals and health systems by building executive relationships, managing complex multi-stakeholder deals from outreach through close, owning account strategy and forecasting in Salesforce, partnering on contracting and customer transition, and identifying expansion opportunities to grow revenue.

Own end-to-end conference logistics and field marketing for 20–30 industry events annually. Manage booth setup, vendor coordination, staffing, event assets, pre/post event campaigns, internal stakeholder prep, ROI tracking, and cross-functional sales alignment. Also produce collateral, run hosted networking events, and build scalable event infrastructure.

Lead design and build of greenfield ERP and Salesforce integrations, own money-movement and payment logic, make architectural decisions, write production backend code, document standards, and act as a hands-on technical lead shaping team and systems.

Design and own clinical data extraction architecture and document intelligence pipelines to ingest, parse, normalize, and enrich unstructured and structured healthcare data at scale. Build resilient ingestion and extraction services, establish data quality standards, influence cross-functional technical strategy, and mentor engineers to improve clinical data availability for product and analytics.