[Hiring] Client Strategy & Operations Manager @Pivotal Health

Role Description

Pivotal Health is looking for a Client Strategy and Operations Manager to own the operational and strategic engine behind our most complex client relationships - large health systems and hospitals. This is a high-impact, hands-on role at a high-growth startup where your operating decisions will shape how Pivotal scales into the hospital and health system segment. This is an individual contributor role, not a managerial role.

What You’ll Do

• Own end-to-end client operations for a portfolio of large health system and hospital clients.
• Proactively monitor data, surface trends, and resolve issues (file delivery issues, ineligibility spikes, payment anomalies, data quality gaps) before they become client-raised escalations.
• Work closely with implementations teams to understand the nuances and complexity of each client's setup.
• Be the point person after go-live for ensuring continued implementation quality.
• Use Metabase, BigQuery, and internal reporting tools to turn operational signal into client-facing strategy.
• Build dashboards to surface important information in a timely manner, and then act on it.
• Serve as a credible strategic counterpart to our Client Success team partners and our clients.
• Partner cross-functionally on IDR strategy and payer compliance work.
• Lead special projects across the company and org that push our IDR model forward.
• Mentor analysts on the team, contribute to playbooks and onboarding documentation, and consistently work to improve internal processes.

Qualifications

• 4–6 years in a client-facing operations, strategy, or analytics role such as Client Strategy & Operations, Implementation, or Account Management.
• Experience in healthtech, RCM, IDR, payer/provider, or healthcare-adjacent enterprise SaaS is required.
• Direct experience working with or inside large health systems and hospitals.
• Strong SQL fluency, with comfort in BigQuery (or equivalent) and dashboarding tools like Metabase, Looker, or Tableau.
• Exceptional communication and presentation skills.
• Strategic and proactive mindset.
• Demonstrated success leading cross-functional initiatives and complex client implementations.
• Experienced mentor and team contributor who thrives in high-growth, fast-paced environments.

Extra Credit Experience

• Experience at a Series A or early-stage startup.
• Experience working with the Independent Dispute Resolution process (IDR).

Benefits

• 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.