Pivotal Health Inc. logo

Senior Platform Engineer

Job Overview

Location

Remote

Job Type

Full-time

Category

Software Engineering

Date Posted

February 26, 2026

Full Job Description

đź“‹ Description

  • • Pivotal Health is at the forefront of revolutionizing healthcare reimbursement, tackling the pervasive issue of underpayment by insurance companies. We empower healthcare providers with a sophisticated, AI-driven platform that simplifies complex reimbursement workflows, enabling them to dispute underpaid claims efficiently and recover the revenue they rightfully deserve. Our mission is to bring clarity, control, and confidence to the entire reimbursement journey for providers.
  • • As a Senior Platform Engineer at Pivotal Health, you will play a pivotal role in architecting, scaling, and fortifying the core infrastructure that underpins our groundbreaking platform. This is an exceptional opportunity for an engineer who thrives on deep system thinking, possesses a strong analytical mindset, and can articulate the 'why' behind technical solutions, not just the 'how.' You will be a crucial partner to our engineering teams, driving the evolution of our cloud architecture, enhancing system reliability and security, and ensuring our platform can seamlessly scale to accommodate our growing customer base and increasing complexity.
  • • Your responsibilities will encompass the strategic design and continuous evolution of our platform architecture. This involves meticulously evaluating architectural trade-offs, refining system designs, and collaborating closely with cross-functional teams to construct robust, scalable, and reliable infrastructure that supports our long-term growth trajectory. You will be instrumental in shaping how our platform handles scale, isolation, and future expansion.
  • • You will develop critical software components that form the backbone of our platform. This includes building sophisticated tooling, essential services, and advanced automation designed to significantly boost developer productivity, enhance system reliability, and improve observability across our entire ecosystem. Your contributions will directly impact the efficiency and effectiveness of our engineering efforts.
  • • A key aspect of your role will be owning and advancing our Infrastructure as Code (IaC) practices. You will expand and harden our Terraform coverage, ensuring that all critical infrastructure resources are meticulously versioned, fully auditable, and provisioned safely and consistently across all development, staging, and production environments. This will establish a foundation of predictability and control over our infrastructure.
  • • You will be tasked with designing and implementing scalable and reliable system interactions and data flows. This requires making well-considered architectural decisions that strike an optimal balance between scalability, reliability, and performance, anticipating the future needs of our evolving platform. Your insights will guide the integration and communication between various system components.
  • • Enhancing operational signal and system reliability is paramount. You will build and refine our monitoring, alerting, dashboarding, and automated testing pipelines. The goal is to surface meaningful, actionable insights rather than overwhelming noise, enabling proactive identification and resolution of potential issues.
  • • Securing our platform and toolchain is a non-negotiable priority. You will collaborate closely with security and engineering teams to fortify our CI/CD pipelines, access controls, network configurations, and data flows. Your efforts will directly support our ongoing compliance initiatives as we continue to expand and mature.
  • • A significant part of your contribution will involve reducing operational toil and improving engineering leverage. You will proactively identify repetitive, high-friction tasks and eliminate them through intelligent automation, the creation of better abstractions, or the implementation of new tooling. You will also explore and leverage AI where it can provide meaningful improvements to operational efficiency.
  • • You will operate as a trusted partner to our feature engineering teams. Your role will involve helping to unblock their delivery processes, improve the systems they rely on, and ensure that platform decisions are grounded in and reflect the practical, real-world needs of development teams. This collaborative approach fosters a shared sense of ownership and accelerates innovation.
  • • This is a high-impact position offering substantial ownership and the opportunity to significantly influence the ongoing maturation and strategic direction of our platform. Your work will directly contribute to Pivotal Health's success in transforming healthcare reimbursement.

Skills & Technologies

Python
GCP
Docker
Kubernetes
Terraform
Senior
Remote
Degree Required

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Pivotal Health Inc. logo
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About Pivotal Health Inc.

Pivotal Health is a health technology company focused on improving the healthcare experience for patients and providers. They offer a platform designed to streamline administrative tasks, enhance patient engagement, and provide data-driven insights for healthcare organizations. Their solutions aim to reduce costs, improve efficiency, and ultimately lead to better health outcomes. Pivotal Health operates within the digital health and health IT sectors, leveraging technology to address challenges in healthcare delivery and management. The company is committed to innovation and creating a more connected and accessible healthcare ecosystem.

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