Senior Software Engineer - Growth + Onboarding
Company: pivotal-health
Location: Lower Manhattan, NY
Salary: $180k - $210k per year
Type: Full-time
Posted: 2026-06-17
About this role
# 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 Growth & Onboarding team. This is a primarily backend-focused role building the systems that power how new providers onboard to the platform, get configured, and start realizing value, a surface that directly shapes the customer experience and Pivotal's ability to scale.
You'll build practical, customer-facing tools and workflows tied to onboarding and growth, working closely not just with product and engineering but with sales and marketing stakeholders who depend on this team as a key touchpoint in the customer lifecycle. Strong product instincts and a genuine interest in what customers need earliest in their journey are just as important as technical depth here.
What You'll Do
- **Build and own backend systems:** Design, implement, and maintain the services and APIs that power provider onboarding, activation, customization workflows, and growth-oriented tooling. Take ...