Help build the state arbitration function: Support the development of Pivotal’s state arbitration workflows, starting with Texas, and help establish operational processes that enable the team to scale into additional states.
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: Research and operationalize processes for new state arbitration programs as the team evaluates where to expand.
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.

4+ years of experience in healthcare operations, revenue cycle management (RCM), payer disputes, or arbitration workflows
Experience managing or leading a team, either as a people manager or team lead responsible for coaching, workflow oversight, or performance management
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 managing structured operational processes, deadlines, and case-based workstreams
Ability to bring clarity and organization to complex or evolving operational environments
Strong written communication skills when negotiating or corresponding with health plans.

Associate Manager, State Arbitration Operations

Key skills