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A remote Data & ML role at Pivotal Health. 5–8+ years of experience building software systems in production environments, with a strong track record of owning and delivering complex technical solutions.
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Pivotal Health is investing heavily in AI as a core strategic capability to transform healthcare operations. We are building intelligent systems that automate complex workflows, improve decision-making, and drive measurable business outcomes across the organization.
As a Senior Applied AI/ML Engineer focused on the Offer Engine, you will design, build, and improve production AI systems that generate optimal, fair, and defensible offers for insurance claims. Reporting to the Head of AI/ML Engineering, you will work at the intersection of machine learning, software engineering, product workflows, and business strategy to solve complex decision-making problems at scale.
This role is focused on applied AI engineering—not research in isolation. You will own systems end-to-end, from experimentation and model development to deployment, evaluation, and operational improvement. Your work will directly influence claim outcomes, negotiation workflows, and the quality of critical business decisions.
We are looking for product-oriented engineers who thrive in ambiguous environments, move quickly from idea to execution, and are excited to build AI systems that create measurable impact. Whether your background is rooted in machine learning engineering, optimization, decision science, marketplace dynamics, or experimentation-heavy environments, success in this role comes from a strong bias toward shipping and continuous improvement.
This position is not eligible for employer-sponsored work authorization. Applicants must be legally authorized to work in the United States on a permanent basis without the need for current or future visa sponsorship.*
Why You’ll Love Working HereWe’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.
If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.
Pivotal Health
Data & ML
34 open roles on Sydicom
