Staff Full-Stack Engineer (AI-First, Backend Focus)

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

Benefits offered by this job

Competitive compensation including 401

Full health, dental, and vision

401(k) retirement plan

Flexible time off

Company-wide events

Job summary

Pivotal Health in the United States (New York area) is hiring a back-end leaning Full-Stack Staff Software Engineer to help build new AI-driven products from the ground up. You'll own product behavior end-to-end, with emphasis on APIs, backend systems, data flows, and product logic.

This high-ambiguity, high-velocity role requires shaping what we build, how we build it, and turning ideas into valuable experiences.

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.

Skills

Python

FastAPI

Tools

PostgreSQL

SQLAlchemy

React

TypeScript

Remix

GCP

Job description

Pivotal Health in the United States (New York area) is hiring a back-end leaning Full-Stack Staff Software Engineer to help build new AI-driven products from the ground up. You'll own product behavior end-to-end, with emphasis on APIs, backend systems, data flows, and product logic.

This high-ambiguity, high-velocity role requires shaping what we build, how we build it, and turning ideas into valuable experiences.