Top Tech Jobs & Startup Jobs

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.

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.

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.