Senior Software Engineer - Case Execution

Pivotal HealthNew York, NY
$190,000 - $220,000Hybrid

About The Position

Pivotal Health is seeking a Senior Software Engineer to join their Case Execution team. This team is responsible for critical components of the case execution workflow, including eligibility, batching, submissions, operations workflows, and claim orchestration. These systems are central to how Pivotal delivers results for healthcare providers in a complex reimbursement environment. The role is ideal for an engineer who thrives on solving intricate, workflow-driven backend challenges and handling data-intensive decision logic, particularly in the technically demanding areas of eligibility and batching.

Requirements

  • 5+ years of software engineering experience with a strong 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
  • 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
  • Strong communicator who collaborates well across engineering, product, and adjacent teams
  • Authorized to work in the United States without current or future employer sponsorship.

Nice To Haves

  • 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
  • Some front-end experience to support admin workflow contributions

Responsibilities

  • Build and improve core case execution systems, owning backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.
  • Tackle complex, data-driven backend problems, working through decision logic and data-heavy workflows for eligibility and batching, understanding system interactions.
  • Contribute to workflow orchestration by building and improving systems that coordinate case staging, routing, and end-to-end execution with a focus on correctness and reliability.
  • Collaborate cross-functionally with the Integrations team, Case Strategy team, and other engineering and product partners.
  • Contribute to internal-facing UI and ops tooling where the product requires it, though the role is primarily backend-focused.

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
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