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Engineering Manager, Case Strategy

Lead the Case Strategy Engineering team to enhance AI-driven reimbursement solutions for healthcare providers.

Location
United States
Compensation
Not disclosed
Level
lead
Type
full time · Remote

Posted by employer 2 days ago

First seen on Joblaze 1 day ago

Last verified on the company career page 1 day ago

Apply at Pivotal Health → Save job Scanned from pivotalhealth.ai

Skills & Technologies

What you'll build

  • Drive engineering outcomes that improve customer reimbursement
  • Own data models, databases, APIs, and services
  • Move AI and ML capabilities into product experiences
  • Build systems that capture outcomes and feedback
  • Guide architectural decisions across various technologies

Must have

  • 7+ years as an IC and 2+ years as a manager
  • Experience delivering production AI or ML products
  • Ability to lead through ambiguity
  • Connect engineering work to business outcomes

Nice to have

  • Experience in healthcare or provider reimbursement
  • Experience with optimization or decision systems
  • Experience scaling an early engineering team

Practical constraints

  • Candidates must be authorized to work in the United States without current or future employer sponsorship

Role intensity

10% coding — mostly leadership/strategy

AI in the day-to-day

Apply AI-enabled development tools to explore ideas, prototype solutions, and contribute directly.

Requirements

Experience
9+ years
Visa
No sponsorship (stated in posting)

Not disclosed in this posting: compensation.

Benefits

401k Match Unlimited PTO Equity/Stock Options Health Insurance

Joblaze summary

The Engineering Manager for Case Strategy at Pivotal Health leads a team focused on enhancing the engineering systems that optimize reimbursement strategies through data and AI. This role requires expertise in building reliable systems around machine learning models, including data pipelines and APIs, while also managing an experienced team in a fast-paced environment. Ideal candidates have a strong technical background, with experience in AI product delivery and a proven ability to connect engineering outcomes to business metrics. Pivotal Health emphasizes collaboration and aims to improve healthcare reimbursement processes.

Joblaze insights

  • Listed yesterday — first seen on Joblaze September 23, 2026. Last confirmed on Pivotal Health's careers page September 23, 2026.
  • AI/ML appears in 27.2% of 526 comparable lead management roles in United States; GCP appears in 3.6% of 526 comparable lead management roles in United States.

Quick facts

Is the Engineering Manager, Case Strategy role remote?
Yes — Pivotal Health lists this as a fully remote position.
How much experience is required?
At least 9 years of relevant experience for this Engineering Manager, Case Strategy role.
What's the tech stack?
Joblaze extracted these technologies from the posting: AI/ML, GCP, Python.
What seniority level is this role?
Pivotal Health targets lead candidates for this position.
Is this full-time or contract?
Full-time for this Engineering Manager, Case Strategy role at Pivotal Health.

From the original posting

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

Employment Information

Standard company text repeated across Pivotal Health's postings is omitted here.

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