Full Stack Product Engineer

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 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 someone who is AI-first in how they work. Part of this team's job is building AI-powered products, but part of it is also helping the company get dramatically better at using AI. We want a product engineer who is personally fluent with AI tools and can use them to move faster, think better, and build stronger products. What You'll Do • Build new product experiences from 0 to 1 across backend services, APIs, integrations, and frontend workflows. • Design and implement backend systems that power product logic, orchestration, data access, and AI-enabled workflows. • Contribute to frontend product development in React-based applications, especially where product quality depends on tight frontend-backend iteration. • Work closely with product, design, operations, and AI/ML partners to turn ambiguous ideas into shipped product. • Prototype quickly, then harden what works into maintainable product systems. • Build internal and customer-facing workflows that use AI, structured data, and software automation to increase leverage. • Help define product requirements through direct technical judgment, not just implementation after decisions are made. • Improve product quality through instrumentation, testing, thoughtful system design, and strong engineering hygiene. • Use AI actively in your own workflow for coding, debugging, investigation, product exploration, and iteration. • Raise the team's velocity by bringing AI-native working habits, practical engineering judgment, and strong product instincts. What Success Looks Like In the first 6 to 12 months, strong outcomes in this role would include: • shipping meaningful new product capabilities quickly • taking ownership of backend-heavy product surfaces with minimal oversight • helping turn vague opportunities into real shipped workflows • improving product quality and speed through strong engineering execution • contributing to a team culture that is highly effective at using AI to build and learn faster • becoming a trusted technical partner to product, design, and operations in a fast-moving environment Who You Are • You are a strong product-minded software engineer who likes building things that users feel directly. • You are full stack, but your center of gravity is backend systems and product logic. • You are comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity. • You have a high ownership mindset and like driving work from rough idea to production. • You care about product quality, not just technical elegance. • You are an AI power user yourself. You actively use AI in your day-to-day work and have strong judgment about how it can accelerate engineering and product development. • You communicate clearly and work well with cross-functional partners. • You want to be in an environment where a great engineer can have outsized impact very quickly. We'd Be Especially Excited If You Have • strong backend experienc...