Staff Software Engineer – Integrations

Pivotal Health

Staff Software Engineer on integrations team at Pivotal Health, building connections for healthcare providers. Leading architectural decisions in backend-focused environment with high ownership and autonomy.

Posted 6/17/2026full-timeLower Manhattan • New York • 🇺🇸 United StatesLead💰 $210,000 - $240,000 per yearWebsite

About the role

Key responsibilities & impact

Own the technical direction for integration systems: Drive architectural decisions across the integrations this team builds and maintains, including healthcare data pipelines, SFTP-based ingestion workflows, EHR platform connections, and partner APIs. Set standards the rest of the team builds to.
Build and ship production systems: Stay hands-on. Write production code, lead design reviews, and take end-to-end ownership of the systems you drive.
Design practical systems around messy real-world data: Build integrations that are flexible enough to handle the realities of healthcare data (inconsistent formats, evolving schemas, and complex onboarding workflows) while maintaining clear technical boundaries.
Bridge technical implementation and customer discovery: Help the team understand integration requirements deeply by engaging in problem discovery alongside product and, where relevant, customers and partners. Translate what you learn into sound technical plans.
Translate ambiguity into executable plans: Partner with product and engineering leadership to take loosely defined requirements and turn them into clear, well-scoped work with understood tradeoffs.
Raise the engineering bar: Establish patterns and practices through code, reviews, and direct collaboration that improve quality, reliability, and maintainability across the team.
Operate cross-functionally: Work closely with product, data, platform, and DevOps partners to ensure integrations are secure, well-instrumented, and built for the long term.
Mentor and grow engineers: Be a technical resource and thought partner for senior and mid-level engineers on the team.

Requirements

What you’ll need

8+ years of software engineering experience with a strong backend focus
Deep systems and database instincts: you're comfortable with database-heavy systems, evolving data pipelines, and the practical challenges of moving and transforming real-world data
Track record of owning architectural decisions on complex, production systems
Comfortable operating with high autonomy in ambiguous, greenfield environments where ownership and architecture are still being worked out
Able to engage in customer and problem discovery: you bring curiosity and good questions, not just implementation depth
Strong product instincts: you care about whether a system is actually useful and correct, not just technically elegant
Self-directed and highly communicative: you surface problems early and drive work forward without waiting for direction
Strong collaborator who can lead through influence and execution, not just title

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

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Hard Skills & Tools

backend developmentdata pipelinesEHR platform connectionsAPI integrationproduction codedatabase systemsarchitectural decisionsdata transformationsystem designcode reviews

Soft Skills

problem discoverycuriositycommunicationcollaborationleadershipself-directioninfluenceadaptabilitymentorshipautonomy