Analyst, State Dispute Operations

Pivotal Health•New York, NY

8d•$26 - $30

About The Position

The State Dispute Analyst handles the day-to-day filing and tracking of Pivotal Health’s state-level healthcare reimbursement disputes. The role prepares and submits disputes through state portals, agencies, and arbitration entities, and tracks deadlines and fees while maintaining accurate case records from filing through resolution. Because each state has different procedures, deadlines, forms, fees, and submission rules, the analyst follows state-by-state references closely and flags changes or discrepancies. The position is part of the dispute operations team and collaborates with analytics and product teams to maintain clean case data. It suits someone who is detail-oriented, comfortable with fast-changing, high-volume work, and interested in building expertise in healthcare reimbursement.

Requirements

2–4 years of experience in data management, operational tracking, revenue cycle operations, claims management, or insurance operations.
Experience with medical billing or coding, and comfort reading EOBs, claims, and reimbursement codes.
Comfort using Excel or Google Sheets, including pivot tables.
Highly detail-oriented, with the ability to catch inconsistencies in documents and data.
Ability to manage high volumes and competing deadlines accurately.
Comfort following detailed, state-specific processes.
Clear written communication skills, sound question-asking, and the ability to flag problems early.
Authorization to work in the United States without current or future employer sponsorship.

Nice To Haves

Familiarity with the federal No Surprises Act and its interaction with state surprise billing laws.
Prior experience with state arbitration programs, such as those in New York, New Jersey, or Texas.
Experience with tools such as Asana, Metabase, or other project management tools.
Medical billing or coding certification, such as CPC.

Responsibilities

Prepare and submit state dispute and arbitration requests through state portals, agencies, and arbitration entities, following applicable documentation and formatting requirements.
Monitor filing and response deadlines, process fees, and confirm that payers pay awarded amounts; follow up on late or incorrect payments.
Monitor shared inboxes, respond to payers, state agencies, and arbitration entities, and log next steps for each case.
Update internal systems and spreadsheets with case details and statuses, and close disputes only when fully resolved.
Follow state references for eligibility, deadlines, forms, and fees; flag rule changes or gaps so references remain current.
Notify analytics and product teams when case files are incomplete or inaccurate.