About Pivotal Health

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.

About the Role

As Pivotal’s first dedicated Implementation Lead, you’ll have the unique opportunity to build and shape a critical function from the ground up. You’ll own the client implementation experience end-to-end, partnering closely with customers, executive stakeholders, Product, and Engineering to design scalable onboarding processes that drive successful launches, long-term client success, and operational excellence as the company grows.

This role is ideal for someone who thrives in fast-paced startup environments, enjoys operating with high autonomy and visibility, and wants the opportunity to truly shape how a business scales. We’re looking for someone who brings both strategic thinking and hands-on execution, can confidently navigate client conversations, push back thoughtfully when needed, and leverage systems, data, and automation to build smarter processes. As the company grows, this role offers significant ownership, direct influence on company strategy, and a clear path into leadership and people management.

What You’ll Do

Own the end-to-end client implementation process from Sales handoff through go-live, ensuring smooth onboarding and long-term client success
Serve as the primary client-facing lead during implementation, managing timelines, expectations, risks, and communication throughout the engagement
Translate client requirements into actionable implementation plans, including integrations, configurations, data setup, and launch readiness
Build and optimize scalable implementation processes, playbooks, and documentation that create consistency and reduce operational friction
Identify and drive automation opportunities across the implementation lifecycle using tools like Asana, HubSpot, Metabase, and BigQuery
Partner cross-functionally with Product, Engineering, Sales, CS, and Operations to align stakeholders, resolve blockers, and improve the client experience
Maintain visibility across all active implementations, proactively managing dependencies, risks, and timelines to ensure successful outcomes
Ensure clients are fully prepared to operate independently at launch, with clear documentation, training, and confidence in the platform
Continuously improve implementation efficiency, scalability, and time-to-go-live as the business and client base grow

Who You Are

5+ years of experience in technical implementation, onboarding, solutions delivery, or related client-facing roles within a technology environment
Comfortable working directly with executive stakeholders, clients, and technical/IT partners across complex implementations
A strong systems thinker who can connect processes, tools, and workflows to build scalable solutions
Highly organized with experience using project management and workflow tools such as Asana or Jira
Proactive about leveraging AI tools like ChatGPT or Claude to improve efficiency, workflows, and problem-solving
Data-driven and analytical, with the ability to use insights and metrics to guide decisions and improve processes
Able to balance strategic thinking with hands-on execution in fast-paced, evolving environments

Extra Credit Experience

Experience working in HealthTech or healthcare-related technology environments
Familiarity with IDR (Independent Dispute Resolution) workflows, reimbursement processes, or healthcare claims operations
Exposure to modern, progressive technology practices, including process automation, AI-enabled workflows, and scalable operational systems

Why You’ll Love Working Here

We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description.

If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.

Benefits Include:

Competitive compensation, including equity
Full health, dental, and vision coverage
Retirement savings plan through 401(k)
Flexible time off
Opportunities for company-wide connection and events

Ready to Make an Impact?
We’re building something meaningful; and we want you on the team.

Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.

Employment Information

Work Authorization

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Equal Employment Opportunity

Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.

Reasonable Accommodations

Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know.

Background Checks

Employment is contingent upon successful completion of applicable background checks, where permitted by law.

At-Will Employment

Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.