About Pivotal HealthPivotal 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 RoleWe’re looking for an Analyst to support Pivotal’s federal healthcare dispute resolution workflows, including Independent Dispute Resolution (IDR) processes.In this role, you’ll manage dispute cases through the federal arbitration process, ensuring claims are reviewed, submitted, and tracked accurately. Federal IDR processes require strong attention to detail and analytical thinking to evaluate eligibility, documentation, and case requirements. You’ll work closely with internal teams and external partners to ensure disputes meet regulatory guidelines and progress through the arbitration process successfully.This is a great opportunity for someone with professional experience who enjoys detail-oriented operational work and wants to develop expertise in healthcare reimbursement and regulatory processes.What You’ll DoEvaluate dispute eligibility and documentation: Analyze claim information to ensure cases meet federal IDR requirements before submission.Monitor arbitration timelines and correspondence: Track deadlines and review communications from health plans, arbitration entities, and internal teams to ensure cases progress appropriately.Maintain operational tracking and documentation: Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics.Support operational improvements: Contribute to refining workflows and documentation as the team builds more scalable dispute management processes.Who You Are2–4 years of experience in revenue cycle operations, with focus on claims management, appeals, insurance, and reimbursementActively participate in team-based problem solving, knowledge sharing, and continuous improvement effortsEngage in cross-training initiatives to build proficiency in multiple roles and functions within the teamStrong attention to detail with the ability to review documentation and identify inconsistencies or errorsAnalytical thinker who can evaluate case information and determine eligibility or appropriate next stepsComfortable working in Excel or Google Sheets to track cases and operational dataAble to manage multiple cases, deadlines, and regulatory timelines simultaneouslyStrong written communication skills when coordinating with internal teams and external partnersExtra Credit ExperienceFamiliarity with Independent Dispute Resolution (IDR), arbitration, or healthcare regulatory workflowsExperience working with operational tools such as Asana, Metabase, or similar systemsWhy 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.Benefits Include:Competitive compensation, including equityFull health, dental, and vision coverageRetirement savings plan through 401(k)Flexible time offOpportunities for company-wide connection and eventsReady to Make an Impact?We’re building something meaningful; and we want you on the team.Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.Employment InformationWork AuthorizationCandidates must be authorized to work in the United States without current or future employer sponsorship.Equal Employment OpportunityPivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.Reasonable AccommodationsPivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know.Background ChecksEmployment is contingent upon successful completion of applicable background checks, where permitted by law.At-Will EmploymentEmployment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.
