Senior Software Engineer – Integrations

Pivotal Health

Senior Software Engineer building backend integrations connecting Pivotal's platform to external healthcare systems. Responsible for services, pipelines, and technical planning with autonomy and collaboration.

Posted 6/17/2026full-timeLower Manhattan • New York • 🇺🇸 United StatesSenior💰 $180,000 - $210,000 per yearWebsite

About the role

Key responsibilities & impact

Build and own backend integrations: Design, implement, and maintain the services, pipelines, and APIs that connect Pivotal's platform to external healthcare systems, billing tools, and partner data sources. Take end-to-end ownership from design through production.
Work with real-world healthcare data: Build integrations that handle the practical realities of healthcare data like SFTP-based ingestion, evolving file formats, inconsistent schemas, and complex onboarding workflows with pragmatism and care.
Contribute to architectural decisions: Be an active participant in technical planning and design discussions. Bring your implementation perspective and push back when you see a better path.
Operate with autonomy: With a small team and real ownership, there's no room for passengers. You'll identify what needs solving and drive your work forward without heavy oversight.
Partner closely with product and stakeholders: Work directly with product to understand requirements, clarify scope, and translate integration needs into sound technical plans. Be comfortable in conversations that involve customers, partners, or domain complexity.
Write reliable, maintainable code: Hold a high bar for code quality, testing, and system design. Correctness matters here; these integrations affect real clinical and financial data.
Surface problems early: Communicate blockers, risks, and open questions proactively. Keeping the team aligned is part of doing the job well.

Requirements

What you’ll need

5+ years of software engineering experience with a strong backend focus
Solid understanding of backend fundamentals: system design, data modeling, API development, and service reliability
Comfortable working with database-heavy systems and building around messy, real-world data
Experience building or maintaining integrations with third-party APIs, data pipelines, or external enterprise systems
Comfortable in greenfield environments with evolving requirements and ambiguous ownership
Able to collaborate closely with product, customers, and partners, not just engineering teammates
Self-directed and proactive: you identify problems and drive them to resolution
Strong communicator who surfaces ambiguity early and works well across functions
Experience in early-stage or startup environments where engineers own outcomes, not just tasks

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 integrationsAPIssystem designdata modelingAPI developmentservice reliabilitydata pipelinesSFTPcode qualitytesting

Soft Skills

autonomyproblem-solvingcommunicationcollaborationproactivitytechnical planningstakeholder engagementadaptabilityownershipteam alignment