Engineering Manager, Case Strategy

Pivotal Health, Inc.

$135K — $160K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years as an individual contributor and 2+ years managing engineering teams in dynamic settings.
  • Strong technical foundation to guide architecture and evaluate tradeoffs.
  • Experience delivering production AI or ML products with data science teams.
  • Knowledgeable in building reliable systems around models, including data pipelines and APIs.
  • Able to navigate ambiguity and provide clarity with limited data.
  • Proficient in managing experienced teams and fostering constructive disagreement.
  • Skilled in linking engineering outcomes directly to business and customer KPIs.
  • Excellent communicator able to align technical decisions across teams.

Responsibilities

  • Drive engineering outcomes to enhance customer value and increase annual recurring revenue (ARR).
  • Own the development of data models, databases, and full-stack workflows for the Case Strategy Platform.
  • Collaborate with AI teams to transition experimental capabilities into reliable product features.
  • Create systems that capture and utilize real-world data for ongoing model improvement.
  • Lead a seasoned engineering team, emphasizing clear priorities and sound decision-making.
  • Recruit new engineers and define roles as the team's responsibilities expand.
  • Transform ambiguous challenges into clear projects with predictable delivery timelines.
  • Shape the technical direction regarding Python services and GCP infrastructure.

Benefits

  • 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
Full Job Description
About the Role

We're looking for an Engineering Manager to lead our Case Strategy Engineering team as we expand one of the most consequential areas of Pivotal's product. You'll own the engineering systems that turn data, AI, and machine-learning capabilities into better strategies for offers, IDRE selection, position statements, batching, and other critical decisions across the IDR workflow.

You'll lead an experienced team of engineers and work closely with our Data Science and AI Platform teams to bring new models into production. The team owns the full engineering layer around those capabilities-including data models, databases, APIs, feedback systems, and full-stack product experiences.

This role reports to the Director of Product Engineering. It is a high-accountability role: the problems are ambiguous and the outcomes directly influence customer lift and annual recurring revenue. The right person will find that combination energizing.

What You'll Do
  • Own Customer Lift: Drive the engineering outcomes that improve the incremental reimbursement Pivotal delivers for customers. Connect the team's technical roadmap to measurable gains in customer value and ARR.
  • Build the Case Strategy Platform: Own the data models, databases, APIs, services, and full-stack workflows that apply case strategies throughout the IDR process.
  • Turn Models Into Product Capabilities: Work with Science and AI Platform to move AI and ML capabilities from experimentation into reliable, usable product experiences.
  • Create a Data and Feedback Flywheel: Build the systems that capture outcomes, surface useful signals, and feed real-world results back into model development and strategy improvement.
  • Lead an Experienced Engineering Team: Set clear priorities, coach engineers, create accountability, and make sound decisions while preserving the rigorous technical debate that makes the team stronger.
  • Grow and Structure the Organization: Hire additional engineers and establish the roles, ownership boundaries, and operating practices the team needs as its scope expands.
  • Drive Predictable Delivery: Turn ambiguous product and technical problems into clear plans, sequence the work, manage dependencies, and ensure the team ships meaningful improvements consistently.
  • Shape the Technical Direction: Guide architectural decisions across Python services, GCP infrastructure, data systems, LLM-enabled capabilities, and customer-facing applications.
  • Use AI to Stay Close to the Work: Apply AI-enabled development tools to explore ideas, prototype solutions, and contribute directly when doing so accelerates the team or improves a technical decision.
What We're Looking For:
  • You have spent several years (7+ as an IC and 2+ as a manager) building and leading engineering teams in early-stage environments where the structure, roadmap, and technical approach were still being defined.
  • You bring a strong individual-contributor foundation and enough technical depth to guide architecture, evaluate tradeoffs, and earn the trust of experienced engineers.
  • You have led the delivery of production AI or ML products, or managed engineering work in close partnership with data-science or applied-science teams.
  • You understand how to build reliable systems around models, including data pipelines, feedback loops, APIs, monitoring, and the product workflows where model outputs are applied.
  • You can lead through ambiguity and imperfect data, forming clear points of view without waiting for every question to be resolved.
  • You know how to manage an experienced, opinionated team-creating clarity and making decisions without shutting down productive disagreement.
  • You connect engineering work to business and customer outcomes and are prepared to own results tied directly to Pivotal's most important KPI: ARR.
  • You communicate technical decisions with precision and can create alignment across Engineering, Science, Product, and other partners.
Extra Credit Experience
  • Experience in healthcare, provider reimbursement, revenue-cycle management, claims, or Independent Dispute Resolution.
  • Experience with optimization, experimentation, decision systems, strategy models, or feedback-driven ML products.
  • Experience scaling an early engineering team or building production AI systems using Python, GCP, and LLMs.


Benefits Include:
  • 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

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