# Clinical Subject Matter Expert at Pivotal Health

- Company: Pivotal Health
- What the company does: Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
- Company website: https://pivotalhealth.ai/
- Type: Startups (AI role)
- Level: Mid level
- Location: Remote - US
- Work setup: Remote
- Pay: $125K to $147K base salary per year (USD)
- Posted: 2026-11-07
- Apply by: 2026-12-22
- Apply: https://jobs.ashbyhq.com/pivotal-health/734bbc07-f5be-4c26-9613-e8b97ac21e2f?utm_source=1752vc&utm_medium=careers
- Page: https://www.1752.vc/careers/jobs/pivotal-health-clinical-subject-matter-expert/

## About the role

We're looking for a Clinical Subject Matter Expert to own the clinical judgment behind our position statements as we take on more complex facility claims. You'll work side by side with Product and Engineering and shape how our model learns what a persuasive, defensible argument looks like. This role reports directly to our Product Lead. Found on 1752vc Careers, the job board for startup and VC roles.

## What they're looking for

- A clinical background, most often nursing, with 5+ years of experience in clinical documentation, denials, or appeals
- Hands-on experience writing or reviewing appeals, denial responses, or clinical arguments meant to persuade a payer, with specific outcomes you can walk us through
- Working knowledge of facility billing, coding, and reimbursement, including how claims, charges, and codes fit together
- Experience giving structured, consistent feedback on written work, such as annotating or scoring drafts against a rubric
- The ability to turn clinical judgment into clear written requirements and criteria that engineers and product managers can act on
- Comfort working inside a product team where processes are still being built, ideally at a startup or technology company

Tags: Product

Source: 1752vc Careers, https://www.1752.vc/careers/jobs/pivotal-health-clinical-subject-matter-expert/