Jobs · Management

Associate Manager, State Arbitration Operations

Pivotal Health · New York, NY · 1 mo ago
RemoteRemoteManagement$85k–$110k/yrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections that have real content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate (cookie/navigation/legal/EEO etc). Must not include sections with placeholder like "commensurate with experience". Must include Benefits if present: they listed Benefits Include: 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. Also Compensation Range: $85,110 - $110,000. That is Pay info. So we need Pay section with that range. Schedule not mentioned, so omit. We need sections: About the role (the description after "About The Role"): we have paragraphs describing role. Could be one

or multiple. We'll put as

. Responsibilities: from "What You'll Do" bullet list. We'll create

  • items. Requirements/Qualifications/Skills: The posting includes "Who You Are" with bullet-like sentences. Could split into Requirements (experience, people management, hands-on work, experience with payer disputes, analytical skills, Google Sheets/Excel, AI tools, managing structured processes, ability to bring clarity, strong written communication). Also "Extra Credit Experience" could be Skills or Qualifications. We'll decide: Requirements: mandatory qualifications. Skills: maybe extra credit. Qualifications maybe overlapping. But we need to follow instruction: use headings only when posting has real specific content. We can have multiple sections: About the role, Responsibilities, Requirements, Skills, Benefits, Pay. Ensure we don't create empty sections. We must not repeat job title. No markdown. Let's extract content. About Pivotal Health: That's company description; maybe not needed as section? Could be part of About the role? The instruction: Use headings for section headings (e.g. About the role, Responsibilities...). The "About Pivotal Health" is company overview, not a standard heading but could be considered "About the role"? Actually "About the role" is separate. The company description could be omitted? The instruction says preserve ALL substantive information; do not invent or summarize away detail. So we need to keep company description somewhere. Could be a

    before the role heading? But we must not add extra headings not listed. We could include it as a

    before the About the role heading, as it's substantive. That's allowed: we can have prose

    not under a heading. The instruction: Use

    for section headings (e.g. About the role, Responsibilities...). Use
    • for any list of duties/requirements/benefits, and

      for prose. So we can have a leading

      for company overview, then

      About the role

      etc. We must remove boilerplate: EEO, accommodation, background checks, at-will, work authorization etc. Also remove "Ready to Make an Impact?" maybe keep as prose? It's motivational but not boilerplate? Might be considered part of "Why You’ll Love Working Here". That's a section maybe we could include as "Why You’ll Love Working Here" but not in list of headings. Could treat as prose under a heading? Not required. We'll keep as

      maybe under a heading "Why You’ll Love Working Here"? Not in prescribed headings but we could still use

      for any section heading; they gave examples but not exclusive. Safer to include only those headings that match content. The "Why You’ll Love Working Here" is a section with bullet list of benefits (but we already have Benefits). Actually they have a paragraph: "We’re a collaborative, low-ego team..." then "Benefits Include:" list. So we could treat that as Benefits section. The preceding paragraph could be part of About the role or separate "Why You’ll Love Working Here". We'll just incorporate that prose into Benefits section preamble. Thus sections: - Company overview

      - About the role

      About the role

      ... (the paragraph after "About The Role") - Responsibilities

      Responsibilities

        list items from "What You'll Do" - Requirements

        Requirements

          list items from "Who You Are" mandatory (first paragraph bullet-like) - Skills

          Skills

            list from "Extra Credit Experience" - Benefits

            Benefits

              list from Benefits Include - Pay

              Pay

              Compensation Range: $85,110 - $110,000

              We must not include Schedule. Check for any duplicated lines: ensure we don't repeat. Now extract exact text. Company overview: "About Pivotal Health 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'll keep as one

              . About the role paragraph: after "About The Role" we have: "We're looking for an Associate Manager, State Arbitration Operations to help build and operationalize Pivotal's emerging state dispute resolution function. Today, our team supports federal Independent Dispute Resolution (IDR) under the No Surprises Act. As we expand into state-level arbitration processes, we're looking for someone who can help establish the workflows, documentation, and operational structure needed to support these programs. Each state operates under its own rules, timelines, and negotiation processes. Some involve structured filing workflows, while others rely heavily on manual negotiation and email-based communication with health plans. This role will manage a 4-person production team handling this work, starting with Texas, Ohio, and Georgia — which are already operationalized — and support the development of repeatable processes as the program evaluates expansion across additional state markets. This is a great opportunity for someone with experience in payer disputes, healthcare arbitration, or revenue cycle management (RCM) who is comfortable doing hands-on, manual production work now, while helping the function mature over time." We'll put as

              . Responsibilities list: from "What You'll Do" bullet points: - Manage the state arbitration production team: Lead and develop a 4-person team of dispute resolution coordinators responsible for manual state arbitration and IDR claim filings; drive accountability, quality, and throughput on day-to-day production work. - 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: Help evaluate and operationalize new state arbitration markets as the team works toward decisions across the broader state IDR roster (22 total markets, with a goal of reaching pursue/not-pursue decisions on roughly 15 within 6 months). - 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, including flagging automation opportunities to Product — without letting those initiatives displace the manual work that needs to happen now. We'll make each as

            • . Requirements list: from "Who Are You" first paragraph (before Extra Credit). It says: "5+ years of experience in healthcare operations, revenue cycle management (RCM), payer disputes, or arbitration workflows Genuine, hands-on experience directly managing a team as a people manager — coaching, performance management, and workflow oversight for direct reports. This is a people-management role, not a growth opportunity into management for the first time. Comfortable with manual, hands-on production work as a core part of the job, not just something to automate away 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 with AI tools. Experience managing structured operational processes, deadlines, and case-based work streams Ability to bring clarity and organization to complex or evolving operational environments Strong written communication skills when negotiating or corresponding with health plans" We'll make each as
            • . Skills list: from "Extra Credit Experience": "Experience working with state arbitration processes (Texas, Ohio, or Georgia experience a plus) Experience in RCM organizations or provider groups managing payer disputes Experience working with IDR under the No Surprises Act Familiarity with operational tools such as Asana, Notion, or similar systems Experience helping launch or operationalize new programs or workflows" Make
            • . Benefits list: from "Benefits Include:": "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" Make
            • . Pay: "Compensation Range: $85,110 - $110,000" Now ensure we didn't include any boilerplate like "We’re a collaborative, low-ego team..." We omitted that. Is that substantive? It's descriptive of culture; maybe we should keep as prose under Benefits or separate section. The instruction: preserve ALL substantive information. That sentence is substantive. We could add a

              before Benefits heading: "We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you." That's from "Why You’ll Love Working Here". We'll include as a

              before Benefits heading. Thus final HTML:

              About Pivotal Health ...

              About the role

              We're looking for ...

              Responsibilities

                ...

              Requirements

                ...

              Skills

                ...

              Benefits

              We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you.

                ...

              Pay

              Compensation Range: $85,110 - $110,000

              Check no extra headings. Now

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