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
When an insurer underpays a healthcare provider for out-of-network care, the provider can dispute it through Independent Dispute Resolution (IDR), a federal arbitration process. Pivotal runs that process for our clients. Case Strategy decides how we fight each dispute: whether to settle early in open negotiation, what offer to make, which arbiter (IDRE) to pick, and what we argue in our position statement. Those decisions determine how much our clients recover. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- 3 to 5 years of experience, including banking or management consulting and at least a year at a startup in strategy, ops or product
- Strong quantitative skills. You build clear, concise, auditable spreadsheets and have a strong understanding of math and statistics
- Proficient in SQL. You can pull and check your own numbers
- Technical enough to work closely with engineers. You follow the tradeoffs and push for a decision
- Detail oriented. You notice when a number looks off, and you bring structure and clarity to messy problems
- Proactive. You spot problems early, ask a lot of questions, and act without being told
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.
When an insurer underpays a healthcare provider for out-of-network care, the provider can dispute it through Independent Dispute Resolution (IDR), a federal arbitration process. Pivotal runs that...
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