Job Description

Senior Applied AI/ML Engineer

Location: Los Angeles, CA

Remote

About Pivotal Health

Pivotal Health is a leading technology platform helping healthcare providers get paid fairly in complex reimbursement landscapes. We combine software, data, and service into an AI-driven platform that simplifies reimbursement workflows, helping providers dispute underpaid claims and recover entitled reimbursement.

Summary

We're hiring a Senior Applied AI/ML Engineer to build and improve high-impact AI systems in product and operational workflows. This role reports to the Head of AI/ML Engineering and focuses on applied systems, not isolated research. You'll work at the intersection of models, software, product workflows, and business outcomes, building models that produce optimal, fair, and defensible offers for insurance claims.

What You'll Do

Own and improve applied AI and ML systems influencing business workflows
Design, train, and deploy models for optimal, fair, and explainable claim offers
Build and refine production workflows for generation, decisioning, retrieval, evaluation, and orchestration
Work on position statement generation, offer engine improvements, open negotiation agents, and configurable decisioning systems
Design and run experiments improving model quality, workflow quality, and business outcomes
Partner with product, operations, and engineering to define success metrics and solve real-world problems
Improve prompt, model, and workflow behavior through feedback loops
Contribute to engineering quality including instrumentation, testing, rollout safety, and operational visibility
Use AI as a force multiplier in your own work and help build AI-native habits
Balance speed and rigor in a shipping-oriented, iterative environment

Who You Are

First 6-12 Months Outcomes

Machine Learning & Artificial Intelligence

Measurable improvements in offer quality, fairness, and defensibility
Clear improvements to position statement generation, offer engine, open negotiation workflows, or related AI systems
Designing and running high-value experiments with real product/business impact
Reducing failure modes and increasing confidence in production AI workflows
Creating stronger feedback loops between model behavior, workflows, and business outcomes
Becoming a trusted technical owner for an important applied AI surface
Contributing to a practical, highly capable AI team culture

Nice To Haves

Experience building optimization systems for pricing, bidding, or equitable decisioning
Experience with applied ML, LLM systems, agent workflows, or production decisioning systems
Experience designing and interpreting experiments, evals, or optimization loops
Experience in marketplaces, pricing, ad tech, credit decisioning, lending, or revenue optimization

Why You'll Love Working Here

Collaborative, low-ego team on a mission to make healthcare reimbursement fairer. Core hubs in Los Angeles and New York; open to exceptional talent outside those regions. Remote/hybrid flexibility varies by role.

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

Work Authorization: Must be authorized to work in the U.S. without current or future employer sponsorship
Equal Employment Opportunity: Pivotal Health is an Equal Opportunity Employer
Reasonable Accommodations: Provided for qualified individuals with disabilities
Background Checks: Employment contingent upon successful background checks
At-Will Employment: Employment is at-will