Engineering Manager
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 a high impact team building the core systems behind our healthcare platform. This role is ideal for a product-minded engineering leader who enjoys partnering closely with Product to shape solutions, translate strategy into technical direction / execution, and ensure the team delivers consistently and sustainably with scalability in mind.
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. If you enjoy balancing technical depth with leadership - and want to help define how an engineering organization grows - this role is for you.
What You’ll Do
Lead as a player–coach: Contribute code, perform design reviews and PRs, and guide technical strategy and decisions while supporting the growth and effectiveness of the team.
Partner deeply with Product: Collaborate closely with Product to gather requirements, clarify scope, and translate product vision into executable technical plans. Help shape solutions early rather than reacting late.
Drive execution and delivery: Own the engineering side of delivery by guiding sprint planning, standups, retrospectives, and prioritization — ensuring the team is constantly shipping and learning from each cycle.
Translate ambiguity into clarity: Take loosely defined problems and help the team break them down into clear, achievable work with well-understood tradeoffs and success criteria.
Provide technical direction: Make pragmatic system design and architectural decisions that balance speed, quality, and scalability.
Build lightweight process and rituals: Establish and evolve team workflows (planning, estimation, retros, incident follow-ups) that improve focus and predictability without unnecessary ceremony.
Support and grow engineers: Coach engineers on execution, communication, and ownership, helping develop careers both on the IC and Managerial tracks.
Model strong engineering culture: Set the tone for empathy, accountability, and collaborative problem-solving across engineering and cross-functional partners.
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 working in product-driven environments with close Product partnership
Comfortable gathering requirements, asking clarifying questions, and shaping solutions collaboratively
Experience leading teams through agile delivery practices (planning, standups, retros)
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 Design
Thrives in early-stage or scaling environments where structure is evolving
Extra Credit Experience
Experience at a Series A or early-stage startup, where priorities evolve quickly and leaders wear multiple hats
Background in FinTech, healthcare, or another highly regulated industry, with an appreciation for security, privacy, and compliance constraints
Why You’ll Love the Role
Product impact: You’ll help turn product vision into shipped, real-world outcomes.
Hands-on leadership: Stay close to the code while growing your leadership scope.
Team influence: Help shape how engineering and product work together as we scale.
Growth runway: Opportunity to grow into a broader leadership role as the org matures.
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.