{"id":697074,"url":"https://alion.io/job/pivotalhealth-senior-software-engineer-case-execution","title":"Senior Software Engineer (Case Execution)","company":{"id":685801,"name":"Pivotal Health","domain":"pivotalhealth.ai","url":"https://alion.io/company/pivotalhealth","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":100,"open_postings":3,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":54,"computed_at":"2026-10-29T05:49:05Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"posting_text","remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":190000,"max":220000,"currency":"USD","period":"year","gross":null,"usd_annual":220000},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Python","optional":false},{"name":"Databricks","optional":true},{"name":"dbt","optional":true},{"name":"Pure Data","optional":true},{"name":"Snowflake","optional":true}],"status":"live","first_seen_at":"2026-08-04T14:34:14Z","employer_posted_date":"2026-08-04","last_verified_at":"2026-10-29T03:51:07Z","board_verified":true,"closed_at":null,"days_open":85,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":85},"description":"About Pivotal Health\nPivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape.\nToday, 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.\nPivotal 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.\nOur 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.\nAbout the Role\nWe'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.\nThis 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.\nWhat You'll Do\nBuild 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.\n\nTackle 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.\n\nContribute 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.\n\nCollaborate 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.\n\nContribute 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.\n\nWho You Are\n5+ years of software engineering experience with a strong backend focus\n\nStrong engineering fundamentals with hands-on experience building data-heavy, workflow-oriented systems\n\nExperience working on complex, data-driven decision logic or orchestration problems: you're comfortable with systems where correctness and sequencing both matter\n\nComfortable operating in a collaborative, fast-moving startup environment where ownership and requirements evolve\n\nPython experience; able to work effectively in a Python-based backend environment\n\nSelf-directed and proactive: you identify problems and drive them to resolution without heavy oversight\n\nStrong communicator who collaborates well across engineering, product, and adjacent teams\n\nExtra Credit If You Have\nExperience with healthcare-specific data or HealthTech systems\n\nExposure to data-heavy architectures or problems adjacent to data engineering without being a pure data engineer\n\nFamiliarity with tools like Snowflake, dbt, or Databricks\n\nSome front-end experience to support admin workflow contributions\n\nWhy You’ll Love Working Here\nWe’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.\nIf you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.\nBenefits Include:\nCompetitive compensation, including equity\n\nFull health, dental, and vision coverage\n\nRetirement savings plan through 401(k)\n\nFlexible time off\n\nOpportunities for company-wide connection and events\n\nReady to Make an Impact?\n We’re building something meaningful; and we want you on the team.\nBring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.\nEmployment Information\nWork Authorization\nCandidates must be authorized to work in the United States without current or future employer sponsorship.\nEqual Employment Opportunity\nPivotal 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.\nReasonable Accommodations\nPivotal 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.\nBackground Checks\nEmployment is contingent upon successful completion of applicable background checks, where permitted by law.\nAt-Will Employment\nEmployment 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.","description_format":"text","description_chars":5822,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Equity","Flexible time off","Health insurance","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing"],"lifecycle":[{"event":"open","at":"2026-09-11T02:11:41Z"}],"visa":[],"liveness":{"score":31,"band":"fade","label":"Fading","p_open":1,"p_active":0.873,"p_room":0.36,"age_days":85,"expected_fill_days":54,"reasons":["conf:1","velocity","win:tail","crowd:"],"computed_at":"2026-10-29T05:49:05Z"},"pay":{"stated_usd_annual":220000,"is_top_pay":true},"html_url":"https://alion.io/job/pivotalhealth-senior-software-engineer-case-execution","json_url":"https://alion.io/job/pivotalhealth-senior-software-engineer-case-execution.json","meta":{"generated_at":"2026-10-29T07:28:05Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":11309,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-30T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":685801},"rest":"https://alion.io/mcp/rest/get_company?id=685801"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fpivotalhealth-senior-software-engineer-case-execution"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fpivotalhealth-senior-software-engineer-case-execution"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fpivotalhealth-senior-software-engineer-case-execution"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/pivotalhealth-senior-software-engineer-case-execution\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fpivotalhealth-senior-software-engineer-case-execution"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":697074}},{"tool":"search_jobs","arguments":{"company":"pivotalhealth.ai","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":697074},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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