Associate Manager, State Arbitration Operations

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