Engineering Manager - Integrations

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 hands-on Engineering Manager to lead Pivotal's Integrations team, a backend-focused group building the infrastructure that connects our platform to the external systems our clients and providers depend on, including healthcare data sources, EHR platforms, billing systems, and partner APIs. This team is new and still taking shape, which means the right EM isn't just leading a function, they're helping define it. You'll be involved in customer and partner conversations, shaping how the team approaches integration problems at a technical and product level, and building a team that can work fluidly across messy real-world data, evolving requirements, and close customer collaboration. 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 strong practices as we scale. If you're energized by greenfield scope, external-facing work, and the challenge of building something new, this role is for you. What You'll Do - Stand up and shape a new team: Help define how the Integrations function operates (hiring, scope, rituals, and engineering culture) while the team is still being built and ownership boundaries are still being established. - 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 Integrations surface: Take end-to-end engineering ownership of the systems that connect Pivotal's platform to customers, external data sources, healthcare platforms,, and any partner APIs. Ensure integrations are reliable, scalable, and maintainable as the catalog grows. - Join customer and partner conversations: Be the technical voice in discovery and scoping conversations with customers and external partners. Ask the right questions, understand integration requirements deeply, and bring that context back into engineering execution. - Partner deeply with product: Collaborate closely with product to gather requirements, clarify scope, and translate integration needs into executable technical plans. Help shape solutions early rather than reacting late. - 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 help the team 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+ yea