Pivotal Health

Associate Manager, State Arbitration Operations

Pivotal Health

full-time

Posted on:

Location Type: Remote

Location: TexasUnited States

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Salary

💰 $85,000 - $110,000 per year

About the role

  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
healthcare operationsrevenue cycle managementpayer disputesarbitration workflowsnegotiation processesanalytical skillsoperational tracking
Soft Skills
team managementcoachingworkflow oversightperformance managementorganizational skillswritten communication