Associate Manager, State Arbitration Operations

Pivotal Health Inc.

Job Overview

Location

Remote - US

Job Type

Full-time

Full Job Description

📋 Description

• The Associate Manager, State Arbitration Operations role is critical to Pivotal Health’s mission of helping healthcare providers recover fair reimbursement by building and scaling the company’s emerging state-level dispute resolution function, starting with Texas arbitration and laying the groundwork for multi-state expansion.
• This role bridges operational execution and strategic development, transforming complex, state-specific arbitration processes into structured, repeatable workflows that reduce administrative burden and improve outcomes for providers navigating fragmented reimbursement systems.
• Day-to-day responsibilities include helping build the state arbitration function from the ground up by supporting the development of workflows and operational processes tailored to state-specific rules, beginning with Texas and designed for scalability.
• Managing state negotiation workflows by reviewing health plan communications, evaluating settlement offers, tracking negotiation timelines, and ensuring disputes progress efficiently through each stage of the arbitration process.
• Creating repeatable processes through detailed documentation of workflows, establishing clear operational guidelines, and refining systems to support consistent case handling and team alignment.
• Supporting expansion into additional states by researching state-specific arbitration rules, timelines, and procedures, and operationalizing new workflows as the team evaluates opportunities for growth.
• Overseeing day-to-day operations by guiding dispute resolution coordinators, ensuring accurate case tracking, monitoring workload distribution, and maintaining data integrity across active arbitrations.
• Bringing structure to an evolving function by organizing priorities, clarifying responsibilities, and improving team processes as the state arbitration program scales and adapts to new regulatory environments.
• Partnering cross-functionally with Product, Engineering, Finance, and Customer Success teams to ensure state arbitration processes are seamlessly integrated into the broader dispute lifecycle and supported by appropriate technology and data flows.
• The role sits within a mission-driven, collaborative team at Pivotal Health, a fast-growing health technology company dedicated to fixing systemic inequities in healthcare reimbursement through AI-powered software, data analytics, and expert service.
• The company culture emphasizes low ego, intellectual curiosity, and a shared commitment to making tangible impact—valuing initiative, problem-solving, and the ability to thrive in ambiguous, early-stage environments.
• In this role, the individual will develop deep expertise in state-level healthcare arbitration, gain end-to-end ownership of operational program design, and build leadership experience in scaling niche healthcare functions within a high-impact tech-enabled services organization.
• They will also strengthen cross-functional collaboration skills, refine analytical and process-design capabilities, and contribute directly to revenue recovery outcomes for healthcare providers across the United States.

🎯 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
• Strong analytical skills and comfort working in Google Sheets / Excel to manage case workflows and operational tracking
• Ability to bring clarity and organization to complex or evolving operational environments
• Strong written communication skills when negotiating or corresponding with health plans
• Experience working with payer disputes, healthcare negotiations, or arbitration processes

🏖️ 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
• Remote work flexibility (US-based)

Skills & Technologies

Junior

Remote

Ready to Apply?

Apply Externally

You will be redirected to an external site to apply.

Pivotal Health Inc.

Visit Website

About Pivotal Health Inc.

Pivotal Health is a health technology company focused on improving the healthcare experience for patients and providers. They offer a platform designed to streamline administrative tasks, enhance patient engagement, and provide data-driven insights for healthcare organizations. Their solutions aim to reduce costs, improve efficiency, and ultimately lead to better health outcomes. Pivotal Health operates within the digital health and health IT sectors, leveraging technology to address challenges in healthcare delivery and management. The company is committed to innovation and creating a more connected and accessible healthcare ecosystem.

View Company Profile

Get more remote jobs like this

Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.

Weekly remote jobs and featured talent.

No spam. Only curated remote roles and product updates. You can unsubscribe anytime.