pivotal-health - Senior Fullstack Engineer - Case Execution
Requirements
• 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: you're comfortable with systems where correctness and sequencing both matter • Experience contributing to modern React-based applications • Comfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve • Python experience; able to work effectively in a Python-based backend environment • Self-directed and proactive: you identify problems and drive them to resolution without heavy oversight • Strong communicator who collaborates well across engineering, product, and adjacent teams • Experience with healthcare-specific data or HealthTech systems • Exposure to data-heavy architectures or problems adjacent to data engineering without being a pure data engineer • Familiarity with tools like Snowflake, dbt, or Databricks • What Success Looks Like • You can navigate complex eligibility and batching logic and make sound decisions in ambiguous technical territory • You're comfortable owning workflow-heavy backend systems end to end • You partner effectively with engineering, product, and adjacent teams without needing heavy coordination overhead • You bring strong judgment to evolving technical problems and help the team move faster as a result
Responsibilities
• Build and improve core case execution systems: Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration. These are the systems that determine how cases move through Pivotal's platform and reach resolution. • Tackle complex, data-driven backend problems: Work through the decision logic and data-heavy workflows that make eligibility and batching hard, understanding not just how individual systems work, but how they interact across the broader platform. • Contribute to workflow orchestration: Build and improve the systems that coordinate how cases are staged, routed, and executed end to end, with a clear eye toward correctness and reliability. • Collaborate cross-functionally: Work closely with the Integrations team, Case Strategy team, and other engineering and product partners to ensure systems are well-connected and aligned with how the broader platform operates. • Contribute to front-end and admin workflows: The role is primarily backend-focused, but you'll contribute to internal-facing UI and ops tooling where the product requires it.
Benefits
• Base Salary Range $190K – $220K • Offers Equity • Upload your resume here to autofill key application fields. • Drop your resume here! • Parsing your resume. Autofilling key fields... • If helpful, feel free to share how to pronounce your name. • We’ll only use this to contact you about your application. • Your resume gives us context on your experience. Feel free to include links to LinkedIn, GitHub, or anything you’re proud of. • or drag and drop here • We ask this to understand time zone alignment, work authorization, and any role-specific location needs. Remote and hybrid expectations vary by role and are shared in the job description. • This helps us understand work authorization requirements. We do not use this information to evaluate qualifications for the role. • We ask this to understand your general expectations; it’s not a commitment or final offer. Compensation is based on role scope, experience, and location. • This helps us understand how candidates find us. • Event/Confernece • Feel free to share a portfolio, GitHub, or anything else that helps tell your story. • I prefer not to answer • Another Gender Identity • Heterosexual / straight • Asian or Asian American • Black or African American • Hispanic or Latine • Indigenous or Native American • Native Hawaiian or Other Pacific Islander • Person with disability • Refugee or immigrant • None of the above
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