[Hiring] Associate Manager, State Arbitration Operations @Pivotal Health

Role Description

We're looking for an Associate Manager, State Arbitration Operations to help build and operationalize Pivotal's emerging state dispute resolution function.

• Manage the state arbitration production team:
  • Lead and develop a 4-person team of dispute resolution coordinators responsible for manual state arbitration and IDR claim filings; drive accountability, quality, and throughput on day-to-day production work.
• Manage state negotiation workflows:
  • Review and respond to health plan communications, evaluate settlement offers, and manage negotiation timelines to ensure disputes progress through state arbitration processes.
• Create repeatable processes:
  • Document workflows, establish operational guidelines, and improve systems that support the state arbitration program.
• Support expansion into additional states:
  • Help evaluate and operationalize new state arbitration markets as the team works toward decisions across the broader state IDR roster (22 total markets, with a goal of reaching pursue/not-pursue decisions on roughly 15 within 6 months).
• Oversee day-to-day operations:
  • Provide guidance to dispute resolution coordinators responsible for managing case workflows and ensure disputes are tracked accurately.
• Bring structure to an evolving function:
  • Help organize priorities, workflows, and team processes as the state arbitration program continues to grow.
• Partner cross-functionally:
  • Collaborate with Product, Engineering, Finance, and Customer Success to ensure state arbitration processes integrate effectively with the broader dispute lifecycle, including flagging automation opportunities to Product — without letting those initiatives displace the manual work that needs to happen now.

Qualifications

• 5+ years of experience in healthcare operations, revenue cycle management (RCM), payer disputes, or arbitration workflows.
• Genuine, hands-on experience directly managing a team as a people manager — coaching, performance management, and workflow oversight for direct reports.
• Comfortable with manual, hands-on production work as a core part of the job, not just something to automate away.
• Experience working with payer disputes, healthcare negotiations, or arbitration processes.
• Strong analytical skills and comfort working in Google Sheets / Excel to manage case workflows and operational tracking. Experience with AI tools.
• Experience managing structured operational processes, deadlines, and case-based work streams.
• Ability to bring clarity and organization to complex or evolving operational environments.
• Strong written communication skills when negotiating or corresponding with health plans.

Extra Credit Experience

• Experience working with state arbitration processes (Texas, Ohio, or Georgia experience a plus).
• Experience in RCM organizations or provider groups managing payer disputes.
• Experience working with IDR under the No Surprises Act.
• Familiarity with operational tools such as Asana, Notion, or similar systems.
• Experience helping launch or operationalize new programs or workflows.

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.