Director of Strategy & Operations

Pivotal Health•New York, NY

1d•$180,000 - $200,000•Hybrid

About The Position

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. We're looking for a sharp, operationally excellent leader to serve as an internal consultant and problem-solver across the organization. In this role, you'll own discrete strategic and operational challenges end-to-end — from initial diagnosis through implementation — working across teams and functions to drive clarity and results. If you thrive in ambiguity, love turning messy problems into structured plans, and know how to move stakeholders to action, this role is for you.

Requirements

4+ years of experience in management consulting, strategy, or a high-velocity operational role
Proven track record of owning and delivering cross-functional projects with multiple workstreams and stakeholders
Strong structured thinking - able to break down complex, ambiguous problems and build clear frameworks for action
Exceptional communicator (written and verbal) with the ability to influence without direct authority
Comfortable wearing many hats and shifting between strategic advisor and hands-on executor as needed
High tolerance for ambiguity; energized by undefined problems and the opportunity to build structure where little exists
Experience scaling and maturing business functions from early stages

Nice To Haves

Background at a top-tier consulting firm (MBB or equivalent)
Experience in an internal strategy or BizOps function at a fast-growing company
Experience in healthcare revenue cycle management

Responsibilities

Lead structured problem-solving efforts - framing the challenge, building consensus around a path forward, and driving cross-functional alignment on the right solution.
Document current-state workflows, identify inefficiencies and gaps, and translate findings into actionable recommendations for operational improvement.
Define clear requirements, owners, milestones, and timelines for each initiative. Hold stakeholders accountable to commitments, proactively surface risks, and communicate status clearly to internal and external audiences.
Maintain laser focus on aligning strategic initiatives with company goals. Quantify opportunities, set targets, measure and communicate impact to executive leadership.