Director, Health Systems Strategy & Delivery (Fully Remote)

Pivotal Health; United States; Remote; USD 150,000 - 190,000; Full time

Benefits offered by this job

Competitive compensation

Equity

Health/dental/vision insurance

401(k)

Flexible time off

Company-wide events

Job summary

Pivotal Health is seeking an experienced leader to expand hospital and health-system engagement, guiding strategy to shipped capabilities. You will collaborate with Product as an advisor, drive workstreams, and keep leadership informed of progress and risk with early escalation.

The role requires deep hospital reimbursement expertise, ability to translate billing knowledge into product requirements, and development of arbitration templates for facility offers.

Qualifications

• 10+ years in hospital revenue cycle, managed care, or reimbursement.
• Fluency with 837I/835, revenue codes, HCPCS/CPT, ICD-10, UB-04.
• Able to write persuasive, evidence-based arguments and lead cross-functional work.

Responsibilities

• Define how Pivotal evaluates, prices, and presents facility claims in IDR.
• Translate facility-billing knowledge into build-ready product requirements.
• Develop the arbitration framework and templates for facility offers and briefs.

Skills

Revenue cycle leadership

Hospital reimbursement

Cross-functional leadership

Data-driven decision making

Tools

837I/835

HCPCS/CPT

ICD-10

UB-04

Job description

• Own the expansion into hospitals and health systems, from strategy to shipped capability.
• Work alongside Product as an advisor and decision-maker, running the workstreams.
• Keep leadership informed of progress and risk, escalating early.

What You'll Do:

• Define how Pivotal evaluates, prices, and presents facility claims in IDR.
• Translate facility-billing knowledge into build-ready product requirements.
• Develop the arbitration framework and templates for facility offers and briefs.

Who You Are:

• 10+ years in hospital revenue cycle, managed care, or reimbursement.
• Fluency with 837I/835, revenue codes, HCPCS/CPT, ICD-10, UB-04.
• Able to write persuasive, evidence-based arguments and lead cross-functional work.

Why You'll Love Working Here:

• Collaborative, low-ego team on a mission to make reimbursement fairer.
• Competitive compensation, equity, full health/dental/vision, 401(k), flexible time off.
• Opportunities for company-wide connection and events.

Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. It combines software, data, and service into an AI-driven platform, and is a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.