Associate Manager, State Arbitration Operations

Pivotal Health

13d

About The Position

We’re looking for an Associate Manager, State Arbitration Operations to help build and operationalize Pivotal’s emerging state dispute resolution function. Today, our team supports federal Independent Dispute Resolution (IDR) under the No Surprises Act. As we begin exploring state-level arbitration processes, we’re looking for someone who can help establish the workflows, documentation, and operational structure needed to support these programs. Each state operates under its own rules, timelines, and negotiation processes. Some involve structured filing workflows, while others rely heavily on manual negotiation and email-based communication with health plans. This role will help navigate that complexity, starting with Texas arbitration, and support the development of repeatable processes as the program evolves. This is a great opportunity for someone with experience in payer disputes, healthcare arbitration, or revenue cycle management (RCM) who enjoys building structure in new operational areas.

Requirements

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

Nice To Haves

Experience working with state arbitration processes (Texas strongly preferred)
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

Responsibilities

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.