Senior Fullstack Engineer – Growth, Onboarding

Pivotal Health

Engineering Manager leading Pivotal Health's new Integrations team. Overseeing backend technology and ensuring effective collaboration with customers and product teams.

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

About the role

Key responsibilities & impact

Stand up and shape a new team: Help define how the Integrations function operates (hiring, scope, rituals, and engineering culture) while the team is still being built and ownership boundaries are still being established.
Lead as a player-coach: Contribute code, perform design reviews and PRs, and guide technical strategy while supporting the growth and effectiveness of the team.
Own the Integrations surface: Take end-to-end engineering ownership of the systems that connect Pivotal's platform to customers, external data sources, healthcare platforms, and any partner APIs. Ensure integrations are reliable, scalable, and maintainable as the catalog grows.
Join customer and partner conversations: Be the technical voice in discovery and scoping conversations with customers and external partners. Ask the right questions, understand integration requirements deeply, and bring that context back into engineering execution.
Partner deeply with product: Collaborate closely with product to gather requirements, clarify scope, and translate integration needs into executable technical plans. Help shape solutions early rather than reacting late.
Drive execution and delivery: Own the engineering side of delivery (sprint planning, standups, retros, prioritization) ensuring the team ships consistently and learns from each cycle.
Translate ambiguity into clarity: Take loosely defined problems and help the team break them down into clear, achievable work with well-understood tradeoffs and success criteria.
Build lightweight process and rituals: Establish and evolve team workflows that improve focus and predictability without unnecessary ceremony.
Support and grow engineers: Coach engineers on execution, communication, and ownership across both IC and managerial tracks.

Requirements

What you’ll need

Bachelor's degree in STEM preferred; additional experience in lieu of a degree is also accepted
6+ years of professional software engineering experience, including recent hands-on backend work
2+ years of experience managing and developing engineers
Experience building or owning integrations with third-party APIs, healthcare systems, and data-heavy enterprise software
Strong customer-facing communication skills: you're comfortable in external conversations with customers and partners, not just internal stakeholders
Able to ask the right technical and business questions in discovery conversations and translate what you learn into engineering direction
Comfortable shaping team scope, contributing to hiring, and helping define a function that is still emerging
Experience working in product-driven environments with close product partnership
Strong technical judgment with a bias toward pragmatic, shippable solutions
Able to balance near-term delivery with longer-term technical health
Clear communicator who builds trust across engineering, product, and external partners
Thrives in early-stage or scaling environments where structure is evolving

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

software engineeringbackend developmentAPI integrationsdata-heavy enterprise softwaretechnical strategydesign reviewssprint planningexecutionscalabilityreliability

Soft Skills

leadershipcommunicationcoachingcollaborationproblem-solvingcustomer-facingtrust-buildingadaptabilityclarityexecution

Certifications

Bachelor's degree in STEM