Staff Site Reliability Engineer

ABOUT PIVOTAL HEALTH Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. ABOUT THE ROLE We’re hiring a Staff Site Reliability Engineer to define and strengthen how reliability, scalability, and operational excellence are built into Pivotal’s platform. This is a senior individual contributor role with broad influence across engineering. You’ll work hands-on with our infrastructure and production systems while setting the technical direction for reliability across the company. You’ll help us evolve from a rapidly growing platform into one that can scale predictably, recover gracefully, and meet the high standards of availability, security, and auditability required in healthcare. You’ll partner closely with software, data, AI, security, and product teams to design resilient systems, improve observability, reduce operational risk, and make reliability a shared engineering responsibility. You’ll bring the technical depth to solve our most difficult infrastructure challenges and the leadership to establish practices that raise the bar for