Pivotal Health

Healthcare

SeniorAppliedAI/MLEngineer,ClaimsDecisioning&Optimization

$200–225k New York, New York, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Senior Applied AI/ML Engineer, Claims Decisioning & Optimization at Pivotal Health. Skills: Applied AI/ML, Claims Decisioning, Optimization, Data Science, Machine Learning Engineering. Develop and deploy ML models. Design and implement AI solutions”

What You'll Achieve.

Improve claims decisioning accuracy; Optimize resource allocation; Enhance operational efficiency

Industry & Context.

Healthcare
Problems you'll solve

Problem-solving; Analytical skills

What They're Looking For.

Must Have

5+ years of experience in applied AI/ML, Bachelor's degree in Computer Science, Statistics, Mathematics, or related field, Proficiency in Python, Experience with ML frameworks, Experience with cloud platforms, Experience with data engineering principles, Experience with SQL

Nice to Have

Master's or PhD in a quantitative field, Experience with large-scale data processing frameworks, Experience with MLOps practices, Experience with causal inference

What You'll Do.

Develop and deploy ML models

Design and implement AI solutions

Optimize decisioning processes

Build and maintain data pipelines

Collaborate with engineering teams

Conduct research on new ML techniques

Evaluate model performance

Ensure model scalability and reliability

How You'll Work.

Team & Collaboration

Cross-functional teams; Engineering teams; Product teams

Full Job Description

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 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

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