Associate Manager, State Arbitration Operations
Posted 2026-05-06
Remote, USA
Full-time
Immediate Start
- Job Description:
- 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.
- 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.
- Benefits:
- 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