Manage federal and state-level healthcare dispute resolution workflows by evaluating claim eligibility and tracking arbitration timelines. Research state regulatory requirements to create operational instructions and maintain accurate case documentation.
Pivotal Health
9 Remote Job Openings at Pivotal Health
Lead the end-to-end strategy and execution of the state arbitration function, transforming it from an informal process into a scalable operating model. Manage and grow the state arbitration team while partnering with Product and Engineering to automate workflows and recover misrouted claims.
Lead the design and development of a scalable, secure healthcare data warehouse platform to support analytics and AI-driven applications. Own the architecture for data ingestion, transformation, governance, and clinical data modeling.
Lead the design and implementation of scalable data pipelines, warehouse models, and transformation frameworks to support clinical evidence generation. Ensure data reliability and quality through the development of validation, monitoring, and alerting processes.
Design and own the architecture for clinical data extraction, focusing on ingestion, parsing, and normalization of structured and unstructured healthcare data. Lead the development of document intelligence pipelines and scalable services to transform raw clinical artifacts into high-quality data assets.
Drive new business with hospitals and health systems by building executive relationships with CFOs and Revenue Cycle leadership. Manage complex, multi-stakeholder sales cycles from initial outreach through closing and onboarding.
Drive new business with hospitals and health systems by building executive relationships with CFOs and Revenue Cycle leadership. Manage complex sales cycles from initial outreach to closing high-quality contracts while maintaining accurate pipeline tracking in Salesforce.
Lead the go-to-market strategy for the Health Systems segment to drive awareness and pipeline growth. Develop audience-specific messaging and partner with Sales and RevOps to optimize inbound and outbound strategies.
Lead a Client Success pod of CSMs to drive retention, expansion, and overall health for a defined portfolio of strategic healthcare accounts. Act as a player-coach by managing complex client relationships and developing operational playbooks to scale the organization.