
Job Overview
Location
Santa Monica, CA
Job Type
Full-time
Category
Software Engineering
Date Posted
April 24, 2026
Full Job Description
đź“‹ Description
- • Lead the architecture and build of greenfield integrations: Design and implement ERP and Salesforce integrations from the ground up, making foundational architectural decisions, evaluating tradeoffs, and documenting reasoning to build scalable, maintainable systems for a fast-growing platform.
- • Own the technical direction for money movement logic: Build business logic that determines how funds are calculated and distributed—how much goes to the client, how much flows through the IDR system, and how refunds are handled after billing—core infrastructure with direct financial impact.
- • Drive technical decision-making and documentation: As a technical leader on a small team, define standards, write supporting documentation, and ensure technical decisions are clearly reasoned and well-recorded, setting the bar for how the team builds.
- • Stay hands-on: Write production code, review team work, and remain close to implementation throughout the project lifecycle—this is not an ivory tower role.
- • Grow with the team: Shape not just the codebase but the team structure itself as a tech lead of project workstreams in a greenfield environment.
- • About the team or company: Pivotal Health is the leading technology platform helping healthcare providers get paid fairly in a complex reimbursement landscape by combining software, data, and service into an AI-driven platform that simplifies reimbursement workflows, reduces administrative burden, and recovers entitled reimbursement.
- • What the person can learn or achieve in this role: Gain deep ownership of financial systems architecture, lead technical strategy in a high-impact domain, grow into a influential tech leader, and contribute to transforming healthcare reimbursement through innovative, scalable integrations.
Skills & Technologies
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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