Payor Dispute Analyst

Pivotal Health

Analyst supporting federal healthcare dispute resolution processes and managing dispute cases for Pivotal Health. Focused on ensuring claims are accurately reviewed and submitted through the federal arbitration process.

Posted 5/11/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $60,000 - $75,000 per yearWebsite

About the role

Key responsibilities & impact

Analyze claim information to ensure cases meet federal IDR requirements before submission.
Track deadlines and review communications from health plans, arbitration entities, and internal teams to ensure cases progress appropriately.
Update internal systems and spreadsheets to maintain accurate case records, dispute statuses, and operational metrics.
Contribute to refining workflows and documentation as the team builds more scalable dispute management processes.

Requirements

What you’ll need

2–4 years of experience in revenue cycle operations, with focus on claims management, appeals, insurance, and reimbursement
Strong attention to detail with the ability to review documentation and identify inconsistencies or errors
Analytical thinker who can evaluate case information and determine eligibility or appropriate next steps
Comfortable working in Excel or Google Sheets to track cases and operational data
Able to manage multiple cases, deadlines, and regulatory timelines simultaneously
Strong written communication skills when coordinating with internal teams and external partners
Familiarity with Independent Dispute Resolution (IDR), arbitration, or healthcare regulatory workflows

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills & Tools

claims managementappealsinsurancereimbursementdata analysisworkflow refinementdocumentationcase tracking

Soft Skills

attention to detailanalytical thinkingwritten communicationmultitaskingorganizational skills