Note: The job is a remote job and is open to candidates in USA. Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. They are seeking a Senior Applied AI Engineer to build and improve high-impact AI systems that influence important product and operational workflows, focusing on generating optimal offers for insurance claims.
Responsibilities
- Own and improve applied AI and ML systems that influence important business workflows
- Design, train, and deploy models that generate optimal, fair, and explainable offers for claims, balancing business objectives with fairness constraints
- Build and refine production workflows around generation, decisioning, retrieval, evaluation, and orchestration
- Work on concrete systems such as position statement generation, offer engine improvements, open negotiation agents, and configurable rules or decisioning systems
- Design and run experiments that improve model quality, workflow quality, and business outcomes
- Partner with product, operations, and engineering teammates to define success metrics and translate messy real-world problems into buildable systems
- Improve prompt, model, and workflow behavior through tight feedback loops and practical iteration
- Contribute to the engineering quality of these systems, including instrumentation, testing, rollout safety, and operational visibility
- Use AI as a force multiplier in your own work and help the team move faster by bringing strong AI-native habits
- Balance speed and rigor in an environment where shipping matters and iteration is constant
Skills
- Strong outcomes in measurable improvements in the quality, fairness, and defensibility of offers generated for claims
- Making clear improvements to position statement generation, offer engine behavior, open negotiation workflows, or related AI systems
- Designing and running high-value experiments with real product or business impact
- Reducing failure modes and increasing confidence in production AI workflows
- Helping create stronger feedback loops between model behavior, operational workflows, and business outcomes
- Becoming a trusted technical owner for an important applied AI surface
- Contributing to a team culture that is both highly practical and highly capable with AI
- Candidates must be authorized to work in the United States without current or future employer sponsorship
- Experience building optimization systems for pricing, bidding, or equitable decisioning
- Experience with applied ML, LLM systems, agent workflows, or decisioning systems in production
- Experience designing and interpreting experiments, evals, or optimization loops
- Experience in domains like marketplaces, pricing, ad tech, credit decisioning, lending, or revenue optimization
Benefits
- 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
Company Overview
Pivotal Health (formerly Radix Health) helps healthcare providers achieve fair reimbursement in an increasingly complex reimbursement landscape. It was founded in 2023, and is headquartered in , with a workforce of 51-200 employees. Its website is http://www.pivotalhealth.ai.