Senior Software Engineer - Case Execution

Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They are seeking a Senior Software Engineer to join their Case Execution team, focusing on backend development and complex workflow-driven problems to enhance operational efficiency in healthcare reimbursement.

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 where needed: The role is primarily backend-focused, but you'll contribute to internal-facing UI and ops tooling where the product requires it

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: you're comfortable with systems where correctness and sequencing both matter
• 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
• Some front-end experience to support admin workflow contributions