--- title: 'Senior Software Engineer - Case Execution at Pivotal Health' canonical: 'https://feeny.ai/job/senior-software-engineer-case-execution-pivotal-health-united-states-fgw7aq9hvmfy' type: 'job' last_seen: '2026-09-06' --- # Senior Software Engineer - Case Execution at Pivotal Health - **Company:** Pivotal Health - **Location:** United States - **Compensation:** $180k–$200k - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-08-04 - **Last confirmed live:** 2026-09-06 - **Apply:** https://jobs.ashbyhq.com/pivotal-health/5984f6bb-78f2-4d68-a907-dcd5b80d2831 ## Job description ## 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. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. ## ABOUT THE ROLE We're hiring a Senior Software Engineer to join Pivotal's Case Execution team. This team owns critical parts of the case execution workflow, including eligibility, batching, submissions, ops workflows, and claim orchestration. These systems sit at the operational core of how Pivotal delivers outcomes for providers. This is a strong fit for an engineer who enjoys solving complex, workflow-driven backend problems and working through data-heavy decision logic. The most technically demanding areas for this team are eligibility and batching, and the right person is energized by that kind of work rather than looking to avoid it. ## What You'll Do - 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. ## Who You Are - 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 Extra Credit If You Have - 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 ## WHY YOU’LL LOVE WORKING HERE We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include: - 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 Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together. ## EMPLOYMENT INFORMATION Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship. ## Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. Background Checks Employment is contingent upon successful completion of applicable background checks, where permitted by law. At-Will Employment Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law. ## About Pivotal Health ## Company Overview - **One-liner**: Pivotal Health provides a full-service Independent Dispute Resolution (IDR) platform that combines software, data, and AI to help healthcare providers secure fair reimbursement from payers. - **Entity Type**: Private (Startup) - **Headquarters**: Morrison, Colorado, United States - **Founded**: 2022 - **Founders**: Max Mangum and Josh Folds ## Core Business - **Primary industry**: Healthcare Technology / Revenue Cycle Management (RCM) / Independent Dispute Resolution (IDR) - **Target customers**: B2B — healthcare providers, including independent physician groups, hospital systems, and RCM teams - **Mission**: Create technology that helps providers achieve fair reimbursement. - **Vision**: Restore the balance between providers and payers. ## Products & Services - **Pivotal Health IDR Platform**: A full-service, technology-driven Independent Dispute Resolution platform. It combines software, proprietary data, and AI to automate and manage the entire IDR workflow under the No Surprises Act. The platform integrates with all major hospital-based RCM systems and handles eligibility, dispute filing, and reimbursement tracking. - **White-Glove Service**: A high-touch, outcomes-aligned service model where Pivotal Health only gets paid after the client gets paid. No hidden fees, no lock-in contracts. ## Market Standing - **Valuation/Market Cap**: Not publicly available (private company) - **Key Metric**: Total Funding — Not publicly disclosed; company is privately held and appears to be growth-stage (41 employees, rapid hiring). - **Notable Investors/Partners**: Not publicly disclosed. The company was founded by Max Mangum and Josh Folds, who previously built Radix Health (the company's former name). - **Growth Signals**: Headcount grew **414.3% year-over-year** to 41 employees. The company rebranded from Radix Health to Pivotal Health in 2025. It is actively hiring across engineering, sales, and operations roles (41 open positions as of mid-2025). Monthly headcount growth is +26.3%. ## Competitive Advantages - **Outcomes-Aligned Pricing**: Pivotal Health is the only IDR partner that gets paid *after* the client gets paid, creating a strong alignment of incentives and reducing financial risk for providers. - **Full-Service Platform**: Combines proprietary software, data intelligence, and AI with a white-glove service team, offering a complete solution rather than just a point tool. - **Deep Integration**: Integrates with all major hospital-based RCM platforms, making setup seamless and reducing friction for provider clients. - **Founding Team Insight**: Founded by Max Mangum and Josh Folds, who have deep domain expertise in healthcare reimbursement and built the company from a personal mission to fix a broken system. ## Strategic Focus - **Product & AI Development**: Heavy investment in AI/ML engineering (hiring Senior Applied AI/ML Engineers and a Senior Applied Scientist for Decisioning) to further automate and optimize the IDR workflow. - **Platform Integration**: Building out systems integration capabilities (hiring Staff and Senior Software Engineers for Systems Integration) to connect seamlessly with more RCM platforms. - **Scaling the Team**: Rapidly growing headcount (414% YoY) across all departments, with a focus on engineering, sales, and client success to support expanding provider partnerships. - **Rebranding & Market Positioning**: The recent rebrand from Radix Health to Pivotal Health signals a strategic push to own the "fair reimbursement" narrative and expand beyond the initial IDR use case. ## Why Work Here - **Mission-Driven Work**: Employees directly contribute to restoring fairness in the healthcare reimbursement system, helping providers get paid fairly for the care they deliver. - **High Growth Environment**: The company is scaling extremely fast (414% headcount growth YoY), offering significant career growth opportunities and the chance to shape processes and culture. - **Hybrid Work Model**: Pivotal Health operates with a hybrid workspace, with offices in Morrison, Colorado, and New York, NY. Employees engage in a combination of remote and on-site work. - **Strong Engineering Culture**: The company is investing heavily in AI/ML and platform engineering, with open roles for Staff Security Engineers, Senior Applied AI/ML Engineers, and Senior Platform Engineers. - **Outcomes-Aligned Philosophy**: The company's "get paid when you get paid" model extends to its culture, emphasizing transparency, fairness, and partnership. ## Sources 1. [pivotalhealth.ai](https://pivotalhealth.ai/) 2. [pivotalhealth.ai/about-us](https://pivotalhealth.ai/about-us) 3. [pivotalhealth.ai/careers](https://pivotalhealth.ai/careers) 4. [LinkedIn](https://www.linkedin.com/company/pivotal-health-ai) 5. [Built In](https://builtin.com/company/pivotal-health) ## Other roles at Pivotal Health - [Rev Ops Analyst, Pro Formas](https://feeny.ai/job/rev-ops-analyst-pro-formas-pivotal-health-santa-monica-hzx8vvh875cb) — Santa Monica, CA - [Office Manager, Workplace & IT Coordinator](https://feeny.ai/job/office-manager-workplace-it-coordinator-pivotal-health-santa-monica-1vadee55rk0n) — Santa Monica, CA - [Principal Client Success Manager](https://feeny.ai/job/principal-client-success-manager-pivotal-health-united-states-xrsyw5n205sa) — United States - [Associate Manager, State Arbitration Operations](https://feeny.ai/job/associate-manager-state-arbitration-operations-pivotal-health-williamsburg-hpf4174jrg52) — Williamsburg, NY - [Staff Site Reliability Engineer](https://feeny.ai/job/staff-site-reliability-engineer-pivotal-health-williamsburg-6qptrrnxk17d) — Williamsburg, NY - [Head of Data Engineering](https://feeny.ai/job/head-of-data-engineering-pivotal-health-williamsburg-thzbw20ghn3y) — Williamsburg, NY - [Director of Advocacy](https://feeny.ai/job/director-of-advocacy-pivotal-health-united-states-g8qeetdgm5v8) — United States - [Senior Data Scientist](https://feeny.ai/job/senior-data-scientist-pivotal-health-santa-monica-pfv2hetfxbxv) — Santa Monica, CA - [Manager, IDR and Industry Relations](https://feeny.ai/job/manager-idr-and-industry-relations-pivotal-health-williamsburg-r4dht5ack16m) — Williamsburg, NY - [IT Support Specialist](https://feeny.ai/job/it-support-specialist-pivotal-health-williamsburg-nda09ks9aa4v) — Williamsburg, NY