Senior Manager, State IDR

Pivotal Health

Remote regions

US

Salary range

$150,000–$170,000/yr

Benefits

Unlimited PTO

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About the Role:

  • State arbitration needs a dedicated leader to drive strategy, operations, and execution.
  • You'll build state arbitration into a formal function with its own strategy, workflows, and team.
  • You'll own the full lifecycle of state arbitration across ~20 states.

What You'll Do:

  • Own state arbitration strategy end to end and build a deliberate roadmap.
  • Build the state filing process from the ground up across states with real volume.
  • Lead and grow the State Arbitration team, including hiring and scaling.

Who You Are:

  • 8–10 years of progressive management experience in Revenue Cycle Management or adjacent industry.
  • Comfortable with Excel and data analysis; SQL and AI tooling experience is a strong plus.
  • A strategic thinker who is also willing to be hands-on and build structure from ambiguity.

Pivotal Health

Pivotal Health is a technology platform that helps healthcare providers get paid fairly in the reimbursement landscape. We are a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.

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