Engineering Manager - Growth + Onboarding

Pivotal Health

$140K — $180K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in STEM preferred; additional experience in lieu of a degree is accepted.
  • 6+ years of professional software engineering experience, including recent hands-on backend work.
  • 2+ years of experience managing and developing engineers.
  • Experience standing up or significantly shaping a new team or function, not just inheriting an established one.
  • Strong product orientation with a genuine interest in customer-facing tooling and the earliest stages of the customer lifecycle.
  • Experience leading teams with a mix of backend and full-stack engineers.

Responsibilities

  • Stand up and shape a new team by defining operations, rituals, and culture.
  • Lead as a player-coach, contributing code and guiding technical strategy.
  • Own the Growth & Onboarding surface, ensuring systems onboard new providers and support customization.
  • Partner cross-functionally with product, sales, and marketing to define customer needs early in the lifecycle.
  • Guide customer-facing engineering from a strong customer experience perspective.
  • Drive execution and delivery by managing sprint planning and team learning cycles.
  • Translate ambiguity into clear, achievable engineering tasks.

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 hiring a hands-on Engineering Manager to lead the Growth & Onboarding team at Pivotal Health. This team owns the systems and experiences that sit at the earliest and most visible part of the customer lifecycle like onboarding flows, customization tooling, benchmarking tools, and the surfaces that support sales and marketing in bringing new providers onto the platform.

This is a high-visibility role with real cross-functional scope. You'll work closely with product, sales, and marketing, not just engineering, and you'll be building a team from the ground up as the Growth & Onboarding function gets staffed. The right person brings strong customer experience instincts, knows how to lead a mix of backend and full-stack engineers, and can shape how a new team operates from day one.

This is a true player-coach role. You will write code, drive delivery, and raise the bar for engineering quality today while also developing the team and establishing a strong product-engineering mindset as we scale.

What You'll Do
  • Stand up and shape a new team: Help define how the Growth & Onboarding function operates (hiring, rituals, ways of working, and engineering culture) as the team gets staffed and ramps up.
  • 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 Growth & Onboarding surface: Take end-to-end engineering ownership of the systems that onboard new providers, power customization workflows, support benchmarking, and enable the sales and marketing motions that drive Pivotal's growth.
  • Partner cross-functionally with product, sales, and marketing: This team is a key customer touchpoint. You'll collaborate closely with stakeholders across functions to understand what providers need earliest in the lifecycle and translate that into engineering execution.
  • Guide customer-facing engineering: Bring a strong sense of customer experience to a team building high-visibility, provider-facing workflows. Help the team make good tradeoffs that serve both the customer and the business.
  • 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 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.

Who You Are
  • 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 standing up or significantly shaping a new team or function, not just inheriting an established one
  • Strong product orientation with a genuine interest in customer-facing tooling and the earliest stages of the customer lifecycle
  • Comfortable partnering directly with sales, marketing, and product, not just engineering stakeholders
  • Experience leading teams with a mix of backend and full-stack engineers
  • 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 go-to-market partners
  • Thrives in early-stage or scaling environments where structure is evolving

Extra Credit Experience
  • Hands-on experience with onboarding systems, activation funnels, customization tooling, or growth-oriented product engineering
  • Familiarity with sales or marketing support tooling, benchmarking tools, or customer-facing operational workflows
  • Experience at a Series A or early-stage startup where priorities evolve quickly and leaders wear multiple hats
  • Background in FinTech, HealthTech, or another highly regulated industry
  • Familiarity with Python a plus


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

Ready to Make an Impact?We're building something meaningful; and we want you on the team.

Bring your ideas, curiosity, and drive, and let's transform healthcare reimbursement together.

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