Pivotal Health

People Operations

• Own end-to-end onboarding coordination: I-9s, Day 1 prep, and new hire checklist management
• Maintain and improve the onboarding program as we scale
• Manage offboarding operational processes with care and consistency
• Own Rippling: employee data, system integrations, access provisioning, and ongoing admin
• Support Ashby configuration: interview scheduling, rec IDs, pod setup, and automation
• Build and maintain People and talent dashboards and hiring metrics for leadership reporting
• Track and follow up on compliance items: training completion, benefits enrollment, payroll setup
• Manage background check process and ensure documentation is current
• Support benefits administration, open enrollment, and employee questions
• Maintain accurate records in Rippling and flag issues proactively
• Support the Recruiting team with coordination overflow during high-volume periods
• Prepare and send offer letters
• Pull recruiting reports: time-to-fill, pipeline status, agency activity
• Serve as a first point of contact for routine employee HR inquiries, providing guidance on HR policies, benefits, and People processes
• Own Notion-based People knowledge base: policies, guides, process documentation
• Help build scalable processes as we grow: things that work at 50 employees often don’t at 150
• Leverage AI tools to streamline administrative tasks, improve knowledge management, and enhance employee self-service resources
• Partner cross-functionally with Finance, IT, and Legal on compliance and process improvements
• Document and standardize SOPs to create scalable, repeatable processes
• Continuously evaluate People systems and tools to improve efficiency, employee experience, and data accuracy

People Operations Generalist

Account Executive

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership.
• Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements.
• Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI.
• Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing.
• Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner.
• Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth).
• Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities.
• Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

Enterprise Sales Executive

Content Marketing Manager

• Own and build the content engine: Develop and manage a content calendar that drives consistent, high-quality output across blog, research, and multimedia formats.
• Turn complex healthcare topics into compelling content: Create content that explains IDR, reimbursement workflows, and specialty-specific insights in a way that is clear, engaging, and valuable to our audience.
• Establish Pivotal as a thought leader in IDR: Build content that positions Pivotal as the go-to authority in the space; from foundational educational pieces to deeper, insight-driven perspectives.
• Create multi-format, high-impact content: Produce blogs, white papers, newsletters, webinars, and interactive content (e.g., calculators) that drive engagement and lead generation.
• Partner across the business to tell better stories: Collaborate with Sales, Product, Customer Success, Engineering and Analytics to surface insights and translate them into compelling narratives.
• Leverage data to drive content and insights: Work with internal datasets (e.g., CMS data, claims data, surveys) to create differentiated, data-backed content that stands out in the market.
• Optimize content for growth: Use SEO, analytics, and performance metrics to refine content strategy and improve how we drive traffic, engagement, and pipeline.
• Support broader marketing and communications efforts: Partner on campaigns, newsletters, and PR initiatives to amplify Pivotal’s voice in the market.

Operations

• 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.

Associate Manager, State Arbitration Operations

Business Analyst

• Build dashboards that power the business: Create and maintain BI dashboards that help teams track key metrics across IDR operations, win rates, collections, and overall performance.
• Translate data into clear insights: Analyze operational data to surface trends, anomalies, and root causes that inform decision making.
• Improve performance visibility: Help develop reporting that gives internal teams and clients clearer visibility into performance and cash flow outcomes.
• Define and standardize key metrics: Contribute to shared metric definitions and data documentation so teams have a consistent understanding of performance signals.
• Investigate performance questions: Partner with Operations and Client Success to explore questions about outcomes, identify root causes, and translate findings into actionable insights.

Security Engineer

• Define and evolve Pivotal’s security architecture: Help shape the long-term security architecture of the platform, establishing patterns and guardrails that ensure infrastructure, networking, and services remain secure as the system scales.
• Build security directly into the platform: Design and implement automated controls, policies, and tooling that embed security into our infrastructure and engineering workflows rather than relying on manual review processes.
• Own infrastructure security and automation: Expand and strengthen Infrastructure as Code practices using Terraform to ensure infrastructure is provisioned securely, consistently, and auditable across environments. Where necessary, deploy and integrate security tooling that strengthens our detection, prevention, and response capabilities across the platform.
• Lead cloud and network security design: Design secure networking architectures including VPC configuration, private networking, firewall policies, and edge protections that safeguard internal systems and customer data. Over time, help extend security practices to any hybrid or on-premise infrastructure environments as the platform evolves.
• Secure development workflows and CI/CD systems: Establish best practices for secure build pipelines, dependency management, artifact integrity, and secure software delivery.
• Drive compliance readiness and regulatory maturity: Lead security initiatives required for frameworks such as SOC 2 and HIPAA, including control design, remediation work, audit preparation, and long-term security improvements.
• Translate compliance frameworks (SOC2, NIST, HIPAA) into actionable engineering tasks and automated controls that integrate smoothly with developer workflows.
• Act as a primary technical point of contact during audits and security reviews, confidently representing Pivotal’s security posture to auditors, partners, or customers when needed.
• Improve monitoring, detection, and operational visibility: Design systems that surface meaningful security signals across infrastructure and services, helping teams detect issues earlier and respond effectively.
• Reduce security toil through automation: Identify manual or repetitive security work and replace it with automated systems, tooling, and infrastructure improvements.
• Partner with engineering teams across the company: Operate as a technical partner to engineering teams, helping them design secure systems while preserving speed and developer experience. Serve as a “security champion” within the organization — collaborating with engineering and IT teams to identify vulnerabilities and work together on practical remediation solutions.
• Raise the bar for security engineering at Pivotal: Set technical direction, establish security standards, and mentor engineers as we continue to mature our platform and security posture. Develop guidelines and protocols for the responsible and secure use of emerging technologies, including AI and LLMs, within both our product and internal workflows.

Staff Security Engineer

Accountant

• Own Core Accounting Operations: Take responsibility for weekly customer billing, cash postings, expense report reviews, AP processing, reconciliations, and key components of the monthly close process. Ensure accuracy, timeliness, and consistency across all core workflows.
• Build a Predictable Close Process: Help design and strengthen our month-end and year-end processes so we move from reactive processes to a robust and structured full accounting process. Improve documentation, controls, and accountability so we consistently hit deadlines with confidence.
• Partner Across the Business: Serve as a trusted partner to Operations, Sales, and FP&A on invoicing, commissions, reconciliations, and reporting. Coordinate directly with cross-functional teams to resolve discrepancies and improve clarity.
• Support ERP Implementation and Optimization: Play an active role in implementing and refining our new ERP system. Participate in testing, validation, reporting design, and process improvements to ensure the system supports scale.
• Improve Systems and Reduce Manual Work: Identify inefficiencies and areas of risk in current processes. Recommend and implement improvements that increase accuracy, reduce friction, and prepare us for growth and audit readiness.
• Prepare Us for Audit & Scale: Help ensure our financial records are well-documented and audit-ready as we prepare for our first financial audit and continued growth.

Senior Staff Accountant

Product Marketing

• Own product messaging and positioning across Pivotal Health’s platform and offerings
• Develop and maintain product content and collateral, including:
• One-pagers, sales decks, and battlecards
• Case studies, testimonials, and client proof points
• Specialty-specific and partner-specific collateral
• Partner with Product to stay deeply informed on roadmap, capabilities, and releases
• Create and manage regular product communications, including product updates and a product newsletter for clients
• Own product-related web content, including product spotlights and solution pages
• Enable Sales, Client Success, and Partnerships with clear, consistent product narratives and materials
• Lead go-to-market planning and execution for major product initiatives, coordinating across teams to ensure successful launches
• Bring structure, clarity, and consistency to how we talk about our product externally and internally