Senior Software Engineer – IDR Core

Pivotal Health

Senior Software Engineer building scalable backend systems for Pivotal Health's healthcare technology platform. Collaborating across teams to streamline complex reimbursement processes for healthcare providers.

Posted 4/24/2026full-timeSanta Monica • California • 🇺🇸 United StatesSenior💰 $180,000 - $200,000 per yearWebsite

Tech Stack

Tools & technologies

AWSCloudDistributed SystemsGoogle Cloud PlatformPostgresPythonSQL

About the role

Key responsibilities & impact

Build and maintain backend systems: Design and implement scalable backend services that support high-throughput data workflows and real-time decision-making.
Develop robust APIs: Build secure, performant, and reliable APIs that power our platform and integrate with internal and external systems.
Collaborate across teams: Work with Product, to ship features end-to-end. Translate ambiguous requirements into technical solutions that have real business impact.
Shape our architecture: Contribute to decisions around system design, performance, and scalability. Help define patterns and best practices for a growing engineering team.
Own the full development lifecycle: From design and implementation to testing, deployment, and post-release support — you’ll see your work through from start to finish.
Improve developer experience: Advocate for code quality, testing, DevOps, and observability, making it easier for the team to ship reliably.
Mentor and grow the team: Share knowledge, conduct code reviews, and help junior engineers grow technically and professionally.

Requirements

What you’ll need

Bachelor’s degree in STEM preferred (additional experience in lieu of a degree is also accepted)
5+ years of software engineering experience, ideally building service-oriented or distributed systems.
Proven experience designing, scaling, and maintaining backend systems in production.
Deep understanding of software engineering fundamentals and design patterns.
Strong SQL skills and experience with relational databases (PostgreSQL preferred).
Proficient in Python (FastAPI/SQLAlchemy) or another object-oriented language.
Experience with cloud infrastructure (GCP or AWS preferred).
Familiarity with DevOps, infrastructure-as-code, and CI/CD pipelines is a plus.
Pragmatic problem-solver: you know how to balance ideal architecture with real-world constraints.
Comfortable in fast-paced, early-stage environments where your work has direct impact.

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

backend systemsAPIsSQLPostgreSQLPythonFastAPISQLAlchemycloud infrastructureGCPAWS

Soft Skills

collaborationproblem-solvingmentoringcode reviewscommunicationadvocacy for code qualityadaptabilitytechnical knowledge sharingorganizational skillsleadership