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 hands-on Engineering Manager to lead the Growth & Onboarding team at Pivotal Health. This team owns the systems and experiences that sit at the earliest and most visible part of the customer lifecycle like onboarding flows, customization tooling, benchmarking tools, and the surfaces that support sales and marketing in bringing new providers onto the platform.

This is a high-visibility role with real cross-functional scope. You'll work closely with product, sales, and marketing, not just engineering, and you'll be building a team from the ground up as the Growth & Onboarding function gets staffed. The right person brings strong customer experience instincts, knows how to lead a mix of backend and full-stack engineers, and can shape how a new team operates from day one.

This is a true player-coach role. You will write code, drive delivery, and raise the bar for engineering quality today while also developing the team and establishing a strong product-engineering mindset as we scale.

What You'll Do

Stand up and shape a new team: Help define how the Growth & Onboarding function operates (hiring, rituals, ways of working, and engineering culture) as the team gets staffed and ramps up.
Lead as a player–coach: Contribute code, perform design reviews and PRs, and guide technical strategy while supporting the growth and effectiveness of the team.
Own the Growth & Onboarding surface: Take end-to-end engineering ownership of the systems that onboard new providers, power customization workflows, support benchmarking, and enable the sales and marketing motions that drive Pivotal's growth.
Partner cross-functionally with product, sales, and marketing: This team is a key customer touchpoint. You'll collaborate closely with stakeholders across functions to understand what providers need earliest in the lifecycle and translate that into engineering execution.
Guide customer-facing engineering: Bring a strong sense of customer experience to a team building high-visibility, provider-facing workflows. Help the team make good tradeoffs that serve both the customer and the business.
Drive execution and delivery: Own the engineering side of delivery (sprint planning, standups, retros, prioritization) ensuring the team ships consistently and learns from each cycle.
Translate ambiguity into clarity: Take loosely defined problems and break them down into clear, achievable work with well-understood tradeoffs and success criteria.
Build lightweight process and rituals: Establish and evolve team workflows that improve focus and predictability without unnecessary ceremony.
Support and grow engineers: Coach engineers on execution, communication, and ownership across both IC and managerial tracks.

Who You Are

Bachelor's degree in STEM preferred; additional experience in lieu of a degree is also accepted
6+ years of professional software engineering experience, including recent hands-on backend work
2+ years of experience managing and developing engineers
Experience standing up or significantly shaping a new team or function, not just inheriting an established one
Strong product orientation with a genuine interest in customer-facing tooling and the earliest stages of the customer lifecycle
Comfortable partnering directly with sales, marketing, and product, not just engineering stakeholders
Experience leading teams with a mix of backend and full-stack engineers
Experience working in product-driven environments with close Product partnership
Strong technical judgment with a bias toward pragmatic, shippable solutions
Able to balance near-term delivery with longer-term technical health
Clear communicator who builds trust across Engineering, Product, and go-to-market partners
Thrives in early-stage or scaling environments where structure is evolving

Extra Credit Experience

Hands-on experience with onboarding systems, activation funnels, customization tooling, or growth-oriented product engineering
Familiarity with sales or marketing support tooling, benchmarking tools, or customer-facing operational workflows
Experience at a Series A or early-stage startup where priorities evolve quickly and leaders wear multiple hats
Background in FinTech, HealthTech, or another highly regulated industry
Familiarity with Python a plus

Why You’ll Love Working Here

We’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.

If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.

Benefits Include:

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

Ready to Make an Impact?
We’re building something meaningful; and we want you on the team.

Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.

Employment Information

Work Authorization

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Equal Employment Opportunity

Pivotal 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.

Reasonable Accommodations

Pivotal 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.

Background Checks

Employment is contingent upon successful completion of applicable background checks, where permitted by law.

At-Will Employment

Employment 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.

Engineering Manager - Growth + Onboarding