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Pivotal Health

Senior Applied AI Engineer – Offer Engine

Pivotal Health

Senior Applied AI Engineer working on AI-driven solutions for improving healthcare reimbursement processes. Collaborating with product and engineering teams to develop robust AI workflows and enhance operational efficiency.

Posted 6/11/2026full-timeLower Manhattan • New York • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact
  • Own and improve applied AI and ML systems that influence important business workflows.
  • Design, train, and deploy models that generate optimal, fair, and explainable offers for claims, balancing business objectives with fairness constraints.
  • Build and refine production workflows around generation, decisioning, retrieval, evaluation, and orchestration.
  • Work on concrete systems such as position statement generation, offer engine improvements, open negotiation agents, and configurable rules or decisioning systems.
  • Design and run experiments that improve model quality, workflow quality, and business outcomes.
  • Partner with product, operations, and engineering teammates to define success metrics and translate messy real-world problems into buildable systems.
  • Improve prompt, model, and workflow behavior through tight feedback loops and practical iteration.
  • Contribute to the engineering quality of these systems, including instrumentation, testing, rollout safety, and operational visibility.
  • Use AI as a force multiplier in your own work and help the team move faster by bringing strong AI-native habits.
  • Balance speed and rigor in an environment where shipping matters and iteration is constant.

Requirements

What you’ll need
  • Strong outcomes in improving the quality, fairness, and defensibility of offers generated for claims within 6 to 12 months
  • Clear improvements to position statement generation, offer engine behavior, open negotiation workflows, or related AI systems
  • Designing and running high-value experiments with real product or business impact
  • Reducing failure modes and increasing confidence in production AI workflows
  • Becoming a trusted technical owner for an important applied AI surface
  • Contributing to a team culture that is both highly practical and highly capable with AI

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

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Applicant Tracking System Keywords

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

Hard Skills & Tools
applied AImachine learningmodel trainingmodel deploymentworkflow designexperiment designinstrumentationtestingoperational visibilitydecisioning systems
Soft Skills
collaborationproblem-solvingcommunicationiterationtrustworthinesspracticalitycapabilityadaptabilitycritical thinkingbalance of speed and rigor