# Principal Client Success Manager 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: Principal and up
- Location: Remote - US
- Work setup: Remote
- Pay: $150K to $170K base salary per year (USD)
- Posted: 2026-08-21
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/pivotal-health/51b8b7f5-e70d-4cd9-a8bf-c79306b51fd9
- Page: https://www.1752.vc/careers/jobs/pivotal-health-principal-client-success-manager/

## About the role

Pivotal Health is looking for a Principal Client Success Manager to own our most complex and highest-value relationships—including multi-hospital health systems and enterprise providers—and to set the standard for how we serve them. This is our most senior individual-contributor role in Client Success: a seat for someone who wants to stay close to the work, be the trusted advisor in the room with revenue cycle leaders, and raise the bar for the whole function without stepping into people management.

## What they're looking for

- 5–10+ years in a client-facing role such as Client Success, Account Management, or client-facing strategy/consulting, experience in healthcare, health tech, or IDR strongly preferred
- Deep healthcare revenue cycle experience (RCM, payer/provider, or health systems), ideally including No Surprises Act / IDR, billing, claims, and reimbursement
- Proven ability to manage complex, high-value, strategic accounts—ideally across multiple hospitals or health systems rather than a single account
- Exceptional communication and executive presence, with the ability to influence and build trusted relationships with C-level and revenue cycle leaders and translate complex insights into clear strategy
- Comfortable working with data, reporting, and account-level analytics, with the ability to interpret trends and build a compelling, data-backed story
- AI-literate, with a builder’s instinct for creating systems, playbooks, and deliverables quickly

Tags: Client Success
