Senior Client Success Manager

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.

About This Role

Pivotal Health is looking for a Senior Client Success Manager to help ensure our healthcare provider clients are successful and satisfied throughout their journey with us. You’ll manage a book of high-value and strategic accounts, providing the white-glove experience and dedicated attention these clients expect. As Senior Client Success Manager, you’ll be responsible for ensuring high adoption of our platform, and supporting retention and overall client satisfaction. This is a critical, hands-on role at a high-growth startup where you’ll have direct impact on client outcomes and company growth.

What You’ll Do

• Manage and grow a portfolio of high-value accounts, with a focus on retention, expansion, and long-term partnership success.
• Lead clients through onboarding, implementation, and ongoing engagement, ensuring clients achieve measurable value early and consistently.
• Act as the voice of the client, synthesizing feedback and partnering with Product and Engineering to influence roadmap priorities and improvements.
• Contribute to Client Success playbooks, share best practices, and mentor team members to strengthen overall team performance.

What We’re Looking For

• 4-8 years in a client-facing role such as Client Success, Account Management, or Client Services; experience in B2B SaaS, healthcare, health tech, or IDR strongly preferred.
• Exceptional communication and presentation skills, with the ability to influence and build trusted relationships with C-level stakeholders and translate complex insights into clear strategies.
• Strategic and proactive mindset, with proven ability to manage and grow high-value accounts, drive measurable outcomes, and mitigate risks before they escalate.
• Experienced mentor and team contributor who thrives in high-growth, fast-paced environments. Comfortable operating in ambiguity, with the ability to build structure, adapt quickly, and make sound decisions in a fast-moving environment.
• Experience leveraging client success, analytics, and project management tools to drive insight and execution.
• Experience at a Series A or early-stage startup, where priorities evolve quickly and leaders wear multiple hats. Prior experience as a healthcare provider.

Extra Credit

• Experience at a Series A or early-stage startup, where priorities evolve quickly and leaders wear multiple hats.
• Prior experience as a healthcare provider.

Why You’ll Love Working Here

• We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers.
• We’re open to exceptional talent outside our core hubs–Los Angeles and New York.
• We offer remote and hybrid flexibility, varying by role and team, and are outlined in each job description.
• We’re building something meaningful; and we want you on the team.
• We bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.

Employment Information

• Candidates must be authorized to work in the United States without current or future employer sponsorship.
• We provide reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws.
• Employment is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.
• The compensation range is $140K - $155K.

Background Checks

• Employment is contingent upon successful completion of applicable background checks, where permitted by law.

At-Will Employment

• Employment with Pivotal Health is at-will and may be terminated by either party at any time, with or without cause or notice, in accordance with applicable law.