Enterprise Sales Executive (West)

Pivotal Health•,

1d•$350,000 - $400,000•Remote

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. Reporting to the CRO, the Enterprise Sales Executive is responsible for driving new business with hospitals and health systems. This role focuses on building executive relationships, progressing complex opportunities, and closing high-quality contracts. This is a hands-on, health system enterprise sales role. You’ll be selling into Finance and Revenue Cycle leadership, as well as running consultative, multi-stakeholder deals, and helping expand our presence within health systems. We’re looking for someone who consistently performs at a high level and knows how to generate and close opportunities in a complex market. This role is designated for the Western United States. We are seeking candidates located within the region as we continue to expand our presence and support customers across the West.

Requirements

7+ years of quota-carrying sales experience in healthcare IT or SaaS, with a track record of exceeding targets selling into health systems
Strong understanding of the acute care environment, including Revenue Cycle, Finance, and operational workflows
Proven ability to generate pipeline and close net new business in complex, multi-threaded sales cycles
Experience selling to executive stakeholders (CFO, SVP/CRO Revenue Cycle, VP Finance) and translating solutions into financial and operational impact
Strong executive presence with the ability to build credibility and drive deal progression
Highly organized with strong pipeline management, forecasting discipline, and experience working within a CRM (e.g. Salesforce)
Comfortable operating in an early-stage, fast-moving environment with a high degree of ownership

Responsibilities

Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership.
Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements.
Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI.
Work closely with the CRO on negotiations, contracting (including redlines), and closing.
Build credibility with senior stakeholders and position yourself as a trusted partner.
Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth).
Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities.
Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.