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Senior Fullstack Engineer - Case Execution

Pivotal Health

Remote · United States$15,833–18,333 gross/mofull-timePivotal Health Careers

About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care.

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.
  • 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

Languages

    Work format
    Remote
    Seniority
    Senior
    Posted
    10 Sept 2026
    Last verified
    In the last 5 days

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