About the job
About Pivotal Health
Pivotal Health stands at the forefront of healthcare technology, empowering providers to secure fair payments in an increasingly intricate reimbursement environment.
Healthcare providers frequently encounter significant underpayment from insurance companies, despite their commitment to delivering exceptional care. While initiatives like Independent Dispute Resolution (IDR) aim to foster fairness, they often become burdened with administration, time demands, and complexity that can overwhelm teams lacking the right resources.
Pivotal Health merges software, data, and services into a cohesive, AI-enhanced platform designed to streamline these challenging reimbursement processes. We enable providers to effectively contest underpaid claims, alleviate administrative challenges, and reclaim the reimbursements they rightfully deserve without increasing their workload.
Our comprehensive IDR solution is merely the beginning. We are developing innovative solutions that allow providers to navigate the reimbursement landscape with clarity, control, and confidence.
About the Role
We are seeking a dynamic Senior Manager of Business Operations to drive and expand the operational framework that fuels Pivotal Health.
This is a pivotal role for a seasoned operations leader who excels in uncertain environments and possesses the ability to construct scalable systems. You will take charge of the throughput, quality, and execution of our upstream workflows related to IDR filing, ensuring our operations remain precise, efficient, and robust as demand escalates.
You will collaborate closely with teams from Customer Success, Finance, Product, and Engineering to enhance transitions and eliminate friction points. Additionally, you will lead and cultivate a growing team of analysts, aiding leadership in shifting from everyday operations to long-term strategic planning.
This position is ideal for an individual who thrives on creating structure in uncharted territories while continuously elevating standards.
What You’ll Do
- Oversee and enhance core operations: Assume responsibility for daily operational performance, including throughput, quality assurance, and the ongoing enhancement of core workflows. Pinpoint bottlenecks and proactively implement effective solutions.
- Develop scalable processes: Construct and refine workflows that accommodate rising volumes without compromising precision. Minimize rework through improved documentation, tools, and system design.
- Lead and nurture a team: Manage and develop a team of analysts, with plans for future growth. Establish clear expectations, provide mentorship, and foster a culture of accountability and teamwork.

