Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
About the role
Pivotal Health is looking for an IDRE Manager to own and professionalize the relationships that sit at the center of our arbitration and reimbursement operations. Independent Dispute Resolution Entities (IDREs) are CMS-approved intermediaries in the No Surprises Act arbitration process, and Pivotal Health currently manages 16+ of these relationships across both federal and state-level arbitration.
What they're looking for
- Background in revenue cycle management (RCM), healthcare, or management consulting
- Experience managing multiple concurrent client or vendor engagements/portfolios simultaneously
- Strong relationship management skills. This role is fundamentally relational, not just technical
- Comfort with Excel and working with operational/dispute data sets
- Strong project and portfolio management skills, with the organizational rigor to track disputes, aging, and escalations across many relationships at once
- A get-it-done, feedback-oriented approach that fits a fast-growing, still-forming function
More about this role
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.
Pivotal Health is looking for an IDRE Manager to own and professionalize the relationships that sit at the center of our arbitration and reimbursement operations. Independent Dispute Resolution...
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