Job Description:
• Help build the state arbitration function: Support the development of Pivotal’s state arbitration workflows, starting with Texas, and help establish operational processes that enable the team to scale into additional states.
• Manage state negotiation workflows: Review and respond to health plan communications, evaluate settlement offers, and manage negotiation timelines to ensure disputes progress through state arbitration processes.
• Create repeatable processes: Document workflows, establish operational guidelines, and improve systems that support the state arbitration program.
• Support expansion into additional states: Research and operationalize processes for new state arbitration programs as the team evaluates where to expand.
• Oversee day-to-day operations: Provide guidance to dispute resolution coordinators responsible for managing case workflows and ensure disputes are tracked accurately.
• Bring structure to an evolving function: Help organize priorities, workflows, and team processes as the state arbitration program continues to grow.
• Partner cross-functionally: Collaborate with Product, Engineering, Finance, and Customer Success to ensure state arbitration processes integrate effectively with the broader dispute lifecycle.
Requirements:
• 4+ years of experience in healthcare operations, revenue cycle management (RCM), payer disputes, or arbitration workflows
• Experience managing or leading a team, either as a people manager or team lead responsible for coaching, workflow oversight, or performance management
• Experience working with payer disputes, healthcare negotiations, or arbitration processes
• Strong analytical skills and comfort working in Google Sheets / Excel to manage case workflows and operational tracking
• Experience managing structured operational processes, deadlines, and case-based workstreams
• Ability to bring clarity and organization to complex or evolving operational environments
• Strong written communication skills when negotiating or corresponding with health plans.
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