Full Stack Product Engineer

About Pivotal HealthPivotal 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 RoleWe’re hiring a Staff Software Engineer to help build new products at Pivotal from the ground up.This role sits on the AI/ML Engineering team. You’ll work on new product surfaces that combine software, data, workflow design, and AI to solve high-value customer problems. The role is full stack, but intentionally backend-leaning. We’re looking for someone who is comfortable owning product behavior end to end while being especially strong in APIs, backend systems, data flows, and the logic that makes great products actually work.This is a high-ambiguity, high-velocity role. You will not be handed perfectly scoped tickets or asked to maintain a mature product in a narrow lane. You’ll help shape what we build, how we build it, and how quickly we can turn ideas into valuable product experiences. The upside is massive impact: the products you work on can materially change how the company operates and how customers experience Pivotal.We also want so