Staff Full-Stack Engineer, AI-Driven Health Tech

Pivotal Health; Santa Monica (CA); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Equity compensation

Health, dental, vision coverage

401(k) retirement plan

Flexible time off

Remote/hybrid flexibility

Job summary

Pivotal Health is seeking 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, focusing on APIs, backend systems, data flows, and AI-enabled workflows.

This high-ambiguity, high-velocity role emphasizes AI-first approaches, architectural thinking, and delivering value with pragmatic engineering across backend and frontend surfaces.

Qualifications

• Strong backend experience in Python, FastAPI, or similar service-oriented systems.
• Experience building product backends, APIs, integrations, and data-heavy application logic.
• Experience contributing meaningfully to modern React-based frontend applications, including TypeScript and React Router/Remix-style frameworks.

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

Python

FastAPI

APIs

React

TypeScript

Remix

PostgreSQL

SQLAlchemy

GCP

Tools

PostgreSQL

SQLAlchemy

GCP

React Router/Remix

Job description

Pivotal Health is seeking 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, focusing on APIs, backend systems, data flows, and AI-enabled workflows.

This high-ambiguity, high-velocity role emphasizes AI-first approaches, architectural thinking, and delivering value with pragmatic engineering across backend and frontend surfaces.