[Remote] Staff Full Stack Engineer
Note: The job is a remote job and is open to candidates in USA. Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They are seeking a Staff Full Stack Engineer to build new products from the ground up, focusing on backend systems, APIs, and AI-driven workflows to solve high-value customer problems.
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
- A strong product-minded software engineer who likes building things that users feel directly
- Full stack, but your center of gravity is backend systems and product logic
- Comfortable moving quickly in ambiguous environments and can make good decisions without waiting for perfect clarity
- High ownership mindset and enjoy driving work from rough idea to production
- Care about product quality, not just technical elegance
- An AI power user yourself, with strong judgment about how it can accelerate engineering and product development
- A clear communicator who works well with cross-functional partners
- Motivated by an environment where a great engineer can have outsized impact very quickly
- 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
- Experience with PostgreSQL, SQLAlchemy, or other relational data systems
- Experience with GCP or similar cloud environments
- Experience building AI-powered products, internal tools, workflow software, or operational software
- Experience in fast-moving startup environments where engineers help define the product, not just implement it
- Experience in healthcare, fintech, logistics, or other operationally complex domains
Benefits
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Opportunities for company-wide connection and events
- Competitive compensation, including equity
Company Overview