Jobs at Pivotal Health

Own day-to-day office operations for the Los Angeles workplace, including facilities, vendors, budget, supplies, onboarding logistics, asset tracking, AV, events, and first-line IT support. The role also builds lightweight systems such as FAQs and escalation paths, partners with IT and Security on equipment and access, and ensures a welcoming, organized, and well-functioning office.

Build and own backend integrations, services, data pipelines, and APIs connecting healthcare systems, billing tools, and partner data sources. Develop React interfaces for integration monitoring, configuration, and troubleshooting. Work with messy healthcare data, contribute to architecture, ensure reliability and maintainability, and collaborate autonomously with product, customers, and partners in an evolving startup environment.

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.

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.

Design, build, deploy, and maintain production AI systems (LLM-powered and agentic) to automate healthcare reimbursement workflows. Own end-to-end model development, evaluation, monitoring, and continuous improvement; collaborate with product, data, and operations to translate requirements into reliable, scalable systems while ensuring safety, observability, and compliance with healthcare data standards.

Lead pro forma modeling and deal support for sales and partnerships, own RFP responses, run lifecycle analytics from attribution to retention, improve CRM data hygiene, and automate repetitive revenue processes while partnering cross-functionally.

Back-end leaning full-stack engineer to build 0-to-1 product experiences: design backend systems, APIs, data flows, and AI-enabled workflows; contribute to React frontends; prototype rapidly and harden production systems while collaborating cross-functionally.

Own strategic enterprise health system accounts, driving retention, expansion, and long-term partnerships. Advise revenue cycle executives, guide clients through No Surprises Act and IDR workflows, lead account planning and QBRs, resolve complex issues, and translate account analytics into recommendations. Build scalable client success playbooks and frameworks, synthesize client feedback for internal teams, and influence Product, Engineering, Operations, and Sales without direct reports.

Serve as an internal consultant driving end-to-end strategy and operations projects: diagnose problems, map processes, recommend improvements, manage cross-functional execution, measure impact, and communicate results to leadership. Lead structured problem-solving, project planning, and stakeholder alignment while scaling early-stage business functions and operating as both advisor and hands-on executor.

Manage a four-person team handling state arbitration and IDR claim filings. Oversee payer negotiations, settlement evaluations, case timelines, workflow accuracy, and production quality. Build repeatable processes, documentation, and operational guidelines while supporting expansion into additional state markets. Partner with Product, Engineering, Finance, and Customer Success to improve dispute workflows and identify automation opportunities. The role requires hands-on production work, people management, analytical tracking, and strong written communication with health plans.

Define reliability strategy and technical roadmaps; design scalable cloud infrastructure; improve observability, incident response, disaster recovery, automation, and deployment systems. Partner across engineering, security, data, AI, and product teams to strengthen resilience, compliance, and operational excellence. Lead architecture reviews, resolve complex production issues, establish SRE practices, and mentor engineers while reducing operational toil and improving platform scalability.

Lead the evolution of Pivotal Health’s data infrastructure and engineering team. Own architecture across ingestion, processing, storage, and data consumption; build scalable streaming and batch platforms, APIs, observability, security controls, and privacy guardrails. Hire and mentor software engineers, promote testing, CI/CD, IaC, version control, and code quality, and enable product, AI, and business intelligence teams to manage schemas and consume reliable data services.

Manage federal and state reimbursement dispute cases through IDR and arbitration: evaluate eligibility and documentation, track timelines and correspondence, maintain case records, research state regulations, respond to payor/IDR communications, and contribute to process improvements.

Lead and build Pivotal Health's security program: set strategy, embed secure-by-design practices with engineering, own SOC 2/HIPAA compliance and audits, monitor threats, represent security to customers and auditors, drive companywide security culture, and define AI/LLM guardrails.

Own day-to-day office operations and vendor management, support an office move, design scalable in-person and virtual employee programs, translate company culture into physical space, champion accessibility, manage budgets, build communication systems (FAQs, Slack, Notion), and partner with People, IT, Finance and leadership. On-site in Williamsburg, Brooklyn.

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.

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 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.

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.