pivotal-health · Williamsburg, NY
Skills: SQL
ABOUT PIVOTAL HEALTH Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. ABOUT THE ROLE We're hiring a Product Manager to join Pivotal's Case Execution team and help build the systems that move eligible healthcare claims through the Independent Dispute Resolution (IDR) process. You'll partner closely with product, operations, and engineering to improve core workflows across eligibility, claim batching, negotiation, and arbitration, helping more claims reach resolution and improving outcomes for healthcare providers. This is a strong fit for someone who enjoys investigating complex problems, working directly with data, and owning initiatives from discovery through launch and measurement. Your work will span federal and state arbitration workflows, with opportunities to uncover operational challenges, identify where technology can make the greatest impact, and deliver practical solutions. You'll learn from an experienced product leader while taking ownership of defined initiatives, with room to grow into a dedicated product area and eng…
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