Product Manager (Case Execution)

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

We're hiring a Product Manager to join Pivotal's Case Execution team and help build the systems that move eligible healthcare claims through the Independent Dispute Resolution (IDR) process. You'll partner closely with product, operations, and engineering to improve core workflows across eligibility, claim batching, negotiation, and arbitration, helping more claims reach resolution and improving outcomes for healthcare providers.

This is a strong fit for someone who enjoys investigating complex problems, working directly with data, and owning initiatives from discovery through launch and measurement. Your work will span federal and state arbitration workflows, with opportunities to uncover operational challenges, identify where technology can make the greatest impact, and deliver practical solutions. You'll learn from an experienced product leader while taking ownership of defined initiatives, with room to grow into a dedicated product area and engineering partnership.

What You’ll Do

• Own product initiatives from discovery through delivery: Investigate problems, define requirements, prioritize solutions, and partner with engineering to launch improvements. Measure results and drive further iteration.

• Understand and improve case execution workflows: Work closely with operations to understand how claims move through federal and state IDR processes. Identify manual steps, exceptions, bottlenecks, and processes that need to evolve as the business scales.

• Use data to guide product decisions: Write SQL queries, learn our data models, and conduct your own analysis to understand claim funnel performance, quantify opportunities, and evaluate the impact of product changes.

• Turn complex problems into clear product direction: Distill stakeholder input, operational details, and analytical findings into focused problem statements, actionable requirements, and clear measures of success.

• Prioritize practical, incremental solutions: Break large problems into manageable releases, weigh business impact against effort, and make thoughtful tradeoffs as priorities shift across federal and state workflows.

• Drive progress across teams: Align product, operations, and engineering on decisions, dependencies, and next steps. Communicate clearly, surface blockers early, and keep initiatives moving through consistent follow-through.

Who You Are

• Approximately 2 - 5 years of experience in product management, strategy and operations, business operations, or a similarly analytical role with meaningful ownership of cross-functional initiatives

• Strong SQL skills, with the ability to independently query data, investigate unfamiliar tables, validate findings, and use analysis to inform decisions

• Experience taking a complex, ambiguous problem from initial investigation through a delivered solution and measurable results

• Comfortable partnering directly with engineering and operational stakeholders to translate business needs into product or workflow improvements

• Resourceful and self-directed: you seek out answers, test assumptions, and make progress independently while knowing when to ask for help

• Able to identify the underlying problem, prioritize the highest-impact opportunities, and break work into achievable steps

• A strong writer who can turn complex information into clear problem statements, product requirements, and concise updates

• Collaborative and thoughtful in how you work with others, with the confidence to challenge assumptions, explain tradeoffs, and say no when needed

• Adaptable in a fast-moving environment where priorities evolve and processes are still being built

• Familiar with AI tools such as Claude to accelerate analysis, research, and documentation, with sound judgment about validating outputs and taking responsibility for your work

• Motivated by hands-on execution and growing product ownership; a formal product management background or healthcare experience is not required

Extra credit if you have:

• Experience at a startup where you helped build products or processes with limited resources

• Experience in an operationally complex business, such as healthcare, fintech, or another industry with detailed rules and workflows

• Experience building internal tools, automating manual processes, or improving products used by operational teams

• Experience analyzing conversion funnels, defining product metrics, or measuring workflow efficiency

• Experience working with third-party vendors, integrations, or external data to improve product capabilities

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.