Senior Backend Engineer - Healthcare Reimbursement

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

Job summary

Pivotal Health in New York, NY is seeking a Senior Software Engineer for the Case Execution team. You will own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.

This role focuses on data-heavy decision logic and workflow-driven systems, collaborating with Integrations, Case Strategy, and product partners, with potential frontend contributions as needed. The ideal candidate has 5+ years of backend experience, strong Python skills, and a track

Qualifications

• 5+ years of software engineering with a strong backend focus and ownership of complex systems.
• Experience building data-heavy, workflow-oriented backend solutions and orchestration.
• Proficient in Python and able to work in a Python-based backend environment.
• Comfortable collaborating with diverse teams (engineering, product, integrations).
• Experience with healthcare data or HealthTech is a plus.

Responsibilities

• Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.
• Tackle complex data-driven decision logic and cross-system coordination.
• Contribute to workflow orchestration, routing, and end-to-end execution.
• Collaborate with Integrations, Case Strategy, engineering, and product partners.
• Contribute to frontend/admin workflows when needed to support product requirements.

Skills

Backend development

Python

Data-heavy systems

Orchestration

Cross-functional collaboration

Tools

Snowflake

dbt

Databricks

Job description

Pivotal Health in New York, NY is seeking a Senior Software Engineer for the Case Execution team. You will own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.

This role focuses on data-heavy decision logic and workflow-driven systems, collaborating with Integrations, Case Strategy, and product partners, with potential frontend contributions as needed. The ideal candidate has 5+ years of backend experience, strong Python skills, and a track