Top Tech Jobs & Startup Jobs in NYC, NY

Lead architecture and implementation of integrations connecting the platform to EHRs, billing systems, SFTP/data feeds, and partner APIs. Ship production backend systems, design resilient pipelines for messy healthcare data, drive technical standards, collaborate cross-functionally, and mentor engineers while partnering with product and customers to translate ambiguous requirements into executable plans.

Lead and build a new backend-focused Integrations team owning end-to-end connections to EHRs, billing systems, and partner APIs. Act as a player-coach: write code, drive delivery, participate in customer/partner discovery, partner with product, and establish team practices, hiring, and technical direction.

Own product reporting and dashboards for IDR operations (win rates, collections, cash flow). Build BI dashboards, run and track experiments, define standardized metrics, investigate trends, surface root causes, make data-driven recommendations, ensure data integrity, and automate reporting to support Product, Operations, Finance, and Client Success.

Sell Pivotal Health's reimbursement and IDR platform to hospitals and health systems across the Western US. Generate pipeline, manage complex multi-stakeholder sales cycles, build executive relationships, lead negotiations and contracting, maintain CRM hygiene (Salesforce), and partner with Customer Success for smooth onboarding and expansions.

Build and own backend services, pipelines, and APIs that integrate Pivotal's platform with external healthcare systems and billing tools. Handle messy clinical and financial data, contribute to architecture, work autonomously with product and stakeholders, ensure code quality, and drive integrations from design to production.

Own operations and strategy for enterprise hospital clients: monitor data, resolve delivery and payment issues, build dashboards and analyses in BigQuery/Metabase, partner with Client Success and cross-functional teams, lead projects, mentor analysts, and create scalable playbooks to improve IDR and reimbursement outcomes.

Lead a Client Success pod managing CSMs and a portfolio of strategic accounts. Drive retention, expansion, account health, escalations, playbooks, and cross-functional feedback to Product, Sales, and Operations while coaching the team and scaling processes.

Design, scale, and harden the platform by evolving cloud architecture, building IaC and automation, improving reliability and observability, securing CI/CD and toolchains, and partnering with engineering teams to remove toil and enable scalable, event-driven systems.

Lead design and productionization of decisioning systems that impact pricing, offers, routing, and economics. Build models, heuristics, optimization logic, and evaluation frameworks. Design and run production experiments, translate business objectives into measurable decision systems, create feedback loops linking model and product outcomes, and partner with engineers to ship model-backed logic and configurable rules. Use AI to accelerate work and balance rigor with rapid iteration.

Own end-to-end operations for a portfolio of enterprise clients: monitor data, surface trends, resolve issues, build dashboards and analyses in BigQuery/Metabase, partner with Client Success, lead cross-functional IDR and payer compliance projects, and create playbooks and automations to scale operations.