# IDR Analyst (Federal and State) 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: Analyst
- Location: Remote - US
- Work setup: Remote
- Pay: $26 to $30/hr (USD)
- Posted: 2026-07-23
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/pivotal-health/c6d782e6-614a-4bae-a761-b21fe216237c
- Page: https://www.1752.vc/careers/jobs/pivotal-health-idr-analyst-federal-and-state/

## About the role

Evaluate dispute eligibility and documentation: Analyze claim information to ensure cases meet federal IDR or state-specific dispute requirements before submission . Research and interpret state regulatory requirements: For state-specific work, independently research state laws, regulations, agency guidance, payer requirements, and arbitration procedures; interpret how they apply operationally; and translate that research into clear, reliable instructions and workflows for the rest of the team.

## What they're looking for

- 2–4 years of experience in revenue cycle operations, claims management, or reimbursement/insurance operations
- Experience with medical billing or coding, comfortable reading EOBs, claims, and reimbursement codes
- Comfortable working in Excel or Google Sheets, including building and using pivot tables, to track cases and data
- Strong attention to detail and analytical thinking, ability to review documentation, catch inconsistencies, and determine next steps
- Ability to manage a high volume of competing deadlines with strong written communication
- Comfortable exercising judgment and asking thoughtful questions rather than waiting for every next step to be prescribed, able to make well-supported recommendations and grow into more independent ownership of your day to day

Tags: Operations