🕒 5 days ago
Lead the infrastructure team responsible for GCP systems, Terraform, CI/CD, reliability, and observability while guiding architecture and building AI-agent-driven delivery workflows.
Pivotal-Health jobs
IDR technology that helps healthcare providers recover fair reimbursement with less administrative work.
🏢 Healthcare Technology🏥 Healthcare Revenue Cycle Management
19 open roles at Pivotal-Health
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🕒 7 days ago
Own clinical quality for AI-drafted facility-claim position statements by evaluating and annotating arguments, defining standards and evaluation criteria, and translating clinical and billing context into product requirements.
📍 🇺🇸 United States - Remote💰 $125k - $150k / year💼 Full-Time🎸 Senior🏥 Clinical Operations Specialist
🕒 11 days ago
Own product initiatives that improve healthcare claim workflows through federal and state IDR, using SQL and cross-functional collaboration to deliver measurable improvements from discovery through launch.
🕒 11 days ago
Own product strategy for IDR case decisions, turning operational gaps into product improvements and using data, experiments, and AI evaluations to increase reimbursement recovered per claim.
🕒 16 days ago
Own end-to-end design for complex healthcare reimbursement products, translating intricate workflows into intuitive experiences while partnering with product and engineering from discovery through launch.
🕒 18 days ago
Build and validate new healthcare software products from customer discovery through production, shaping technical direction and using AI, data, and rapid experiments to solve reimbursement workflow challenges.
🕒 20 days ago
Build and scale growth campaigns, lifecycle automation, ABM programs, and measurement that convert awareness into qualified pipeline, partnering with segment leaders and Revenue Operations.
🕒 26 days ago
Handle state-level healthcare reimbursement disputes from filing through resolution, ensuring accurate submissions, case records, deadlines, fees, and payment follow-up across state-specific processes.
🕒 29 days ago
Own healthcare regulatory and reimbursement legal work, negotiate payer disputes, shape arbitration award collection and litigation readiness, and build scalable legal processes in partnership with product and operations.
📅 Oct 13
Build and shape AI-enabled products from the ground up, owning backend systems, APIs, data flows, and frontend workflows while turning ambiguous customer problems into reliable product experiences.
📅 Oct 6
Drive new business with hospitals and health systems by building executive relationships, managing complex multi-stakeholder sales cycles, and closing high-quality contracts.
📅 Oct 1
Own the weekly fee-refund cycle, resolve payment and refund inquiries, reconcile claims data, and improve Payor Compliance processes while coordinating with Client Success, IDREs, Finance, and Accounting.
📅 Sep 10
Own and improve backend case execution systems for eligibility, batching, submissions, and claim orchestration, solving complex data-driven workflow problems while contributing to internal tools and cross-team delivery.
📅 Sep 9
Own high-priority financial and strategic analyses, build models and forecasts, and turn complex business data into recommendations that guide decisions, planning, and growth.
📅 Sep 9
Own the technical direction and hands-on development of a shared platform spanning identity, tenancy, services, and developer tooling, enabling product teams to build and ship reliable capabilities faster.
📅 Aug 21
Own strategic relationships with enterprise health systems, guide clients through complex reimbursement and IDR workflows, and shape scalable Client Success practices while driving retention, expansion, and measurable outcomes.
📅 Aug 19
Lead the data engineering platform, architecture, and team, evolving existing infrastructure into a scalable, observable system that supports data ingestion, processing, storage, and consumption across product and AI services.
📅 Aug 4
Own and improve backend case execution systems spanning eligibility, batching, submissions, operations workflows, and claim orchestration, with a focus on reliable, data-heavy decision logic.
📅 Jun 3
Leads go-to-market strategy for the health systems segment, building positioning, demand generation, and revenue-aligned programs to grow awareness, engagement, and pipeline with hospitals and providers.
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