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 Director of Client Success, Partners, you'll build and lead the function responsible for the most strategically complex relationships in our portfolio.

Our Revenue Cycle Management (RCM) partners don’t simply refer business to Pivotal. They influence implementation success, customer outcomes, product feedback, expansion opportunities and how physician groups experience our platform. Many of these organizations represent dozens—or even hundreds—of provider groups, making them some of the most important stakeholders in our ecosystem.

You'll be the senior Client Success point of contact for the partner track, owning QBRs at the strategic level, running performance conversations grounded in real data, and partnering with Sales to drive expansion across the channel. This role sits directly on the CX leadership team and reports to the Head of Client Experience.

This is a build role. The Partner Client Success (CS) playbook doesn't exist yet, you'll write it. We're looking for someone who's done this before or is clearly ready to, and who brings the credibility to walk into a room with a CFO and own the conversation.

What You’ll Do

Own senior relationship management across all channel partners, serving as the primary point of accountability for partner health, escalations, and strategic alignment
Build and operationalize the Partner Success function, including strategic QBRs reporting, communication cadences, and escalation processes
Act as the internal voice of the partner ecosystem, ensuring partner feedback informs product strategy, roadmap prioritization, and operational improvements.
Drive performance conversations using real metrics — net collection rate, win rate, days in AR — and translate data into actionable partner insights
Identify and pursue expansion opportunities within the partner portfolio in close partnership with Sales
Build the partner CS playbook from scratch: processes, cadences, escalation frameworks, and reporting infrastructure
Create scalable frameworks for measuring partner health, identifying risk, and proactively addressing challenges before they become escalations
Maintain visibility across all partner accounts, proactively surfacing risks before they become escalations

Who You Are

8+ years in client success, account management, or revenue cycle — with meaningful experience managing channel, partner, or multi-layer client relationships
Experience managing complex, multi-layered relationships where success depends on influencing multiple stakeholders and organizations
Comfortable and credible operating at the executive level and leading strategic conversations with senior leaders
Fluent in RCM metrics and healthcare billing operations; you don't need to be taught what net collection rate means
A builder; you've either built a function or a playbook from scratch, or you're visibly ready to
Excellent cross-functional operator who can influence Product, Sales, Operations and Leadership teams
Excited by ambiguity and energized by building rather than inheriting mature processes
Startup experience strongly preferred

Extra Credit Experience

Direct experience with IDR, NSA, or out-of-network billing workflows
Experience building or formalizing a CS function within a high-growth startup
Familiarity with tools like Claude, Salesforce, Metabase, Asana, or BigQuery in a CS or ops context

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.