AI-First Backend Engineer (Staff) — Equity Eligible

Pivotal Health; New York (NY); Hybrid; USD 190,000 - 220,000; Full time

Benefits offered by this job

Competitive compensation

Full health, dental, and vision

401(k) retirement plan

Flexible time off

Company-wide events

Job summary

Pivotal Health is hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products from the ground up. You’ll own product behavior end to end, with a focus on APIs, backend systems, data flows, and AI-driven workflows.

This high-ambiguity, high-velocity role lets you shape what we build, how we build it, and how fast ideas become valuable product experiences. You’ll work with AI-native approaches to accelerate engineering and product development, collaborating across teams

Qualifications

• Strong backend experience in Python, FastAPI or similar service-oriented systems.
• Experience building product backends, APIs, integrations, and data-heavy logic.
• Experience contributing to modern React-based frontend applications, including TypeScript.
• Experience with PostgreSQL, SQLAlchemy, or other relational data systems.
• Experience with GCP or similar cloud environments.

Responsibilities

• 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

Skills

Product-minded

Ownership mindset

Strong communicator

AI-first mindset

Tools

Python

FastAPI

React

SQLAlchemy

PostgreSQL

GCP

Job description

Pivotal Health is hiring a back-end leaning Full-Stack Staff Software Engineer to help build new products from the ground up. You’ll own product behavior end to end, with a focus on APIs, backend systems, data flows, and AI-driven workflows.

This high-ambiguity, high-velocity role lets you shape what we build, how we build it, and how fast ideas become valuable product experiences. You’ll work with AI-native approaches to accelerate engineering and product development, collaborating across teams