Senior Software Engineer Case Execution

About the role

Pivotal Health is seeking a Senior Software Engineer to join the Case Execution team, which manages critical workflows including eligibility, batching, and claim orchestration. This role focuses on solving complex, data-heavy backend problems and building decision logic to ensure efficient reimbursement for healthcare providers. The engineer will work cross-functionally to maintain system reliability and contribute to internal-facing tools.

Responsibilities

• Build and improve core backend systems for eligibility, batching, submissions, and claim orchestration.
• Tackle complex, data-driven backend problems involving decision logic and workflow sequencing.
• Contribute to workflow orchestration systems to ensure correct and reliable case routing.
• Collaborate with Integrations and Case Strategy teams to align systems with broader platform operations.
• Contribute to internal-facing UI and operational tooling as required.

Required skills

• Python
• Backend development
• Data-heavy systems
• Workflow orchestration

Nice to have

• Healthcare data
• HealthTech
• Snowflake
• dbt
• Databricks
• Front-end development

Qualifications

• 5+ years of software engineering experience with a strong backend focus
• Experience building data-heavy, workflow-oriented systems

Benefits

• Equity
• Health insurance
• Dental insurance
• Vision coverage
• 401(k) retirement plan
• Flexible time off

About the Company

Pivotal Health is a technology platform that combines software, data, and service to help healthcare providers navigate complex reimbursement landscapes and dispute underpaid claims.