Staff Software Engineer – New Products

Pivotal Health

. Join customer calls and site visits and turn customer insights into working prototypes, often within the same week .

Posted 10/28/2026full-timeUnited StatesLead💰 $210,000 - $235,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building and shipping production software, with a strong focus on backend development, AI-driven workflows, and product analytics. Capable of collaborating effectively with cross-functional teams to design and implement innovative solutions in the healthcare domain.

Highest-signal resume keywords

8+ Years Experience In Production SoftwareStrong Backend SkillsKnowledge Of Python (FastAPI)Experience With Large Language Models (LLMs)Familiarity With GCP

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Backend DevelopmentPythonFastAPIPostgreSQLReactTypeScriptSQLAlchemyExperiment DesignProduct AnalyticsWorkflow Software

Soft Skills

Good JudgmentDecision-MakingCollaborationCustomer Feedback Adaptation

Tools & Technologies

AI ToolsGCPReact RouterRemix

Industry Keywords

Healthcare Revenue CycleOperational ComplexityProduct DevelopmentPrototyping

Tech Stack

Tools & technologies

Google Cloud PlatformPostgresPythonReactTypeScript

About the role

Key responsibilities & impact

Join customer calls and site visits and turn customer insights into working prototypes, often within the same week
Build new products from zero to one across backend services, APIs, data pipelines, AI-driven workflows, and React front ends
Design experiments with the pod, define what prototypes need to prove, instrument them, and analyze results
Collaborate with the co-founder and Director of Product Engineering to decide whether to advance, change direction, or stop initiatives
Bring a strong technical point of view to product decisions
Take successful prototypes into production systems that engineering can run and extend
Set technical direction, architecture, reusable building blocks, and standards for new products
Use AI tools to build, debug, and explore, and help engineering improve its use of them
Collaborate with core platform, data, and operations teams to reuse existing capabilities
Work on software, data, and service solutions that help healthcare providers dispute underpaid claims and recover reimbursement

Requirements

What you’ll need

8+ years of experience building and shipping production software
Experience building new products from scratch at a startup or on a new-product team
Strong backend skills
Knowledge of Python (FastAPI or similar) or another modern service language
Knowledge of relational databases such as PostgreSQL
Enough React and TypeScript knowledge to ship a complete product experience independently
Experience working directly with users and changing direction based on customer feedback
Experience building with large language models (LLMs)
Good judgment about where LLMs help and where they do not
Ability to make decisions with incomplete information and revisit them when evidence changes
Candidates must be authorized to work in the United States without current or future employer sponsorship
Extra credit: experience as an early or founding engineer
Extra credit: background in healthcare revenue cycle or another operationally complex field
Extra credit: familiarity with GCP, SQLAlchemy, and React Router/Remix
Extra credit: product analytics and experiment design experience
Extra credit: experience building workflow software or internal tools for operations teams

Benefits

Comp & perks

Competitive compensation, including equity
Full health, dental, and vision coverage
Retirement savings plan through 401(k)
Flexible time off
Opportunities for company-wide connection and events
Remote and hybrid flexibility varies by role and team