Note: The job is a remote job and is open to candidates in USA. Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. The Client Strategy and Operations Manager will own the operational and strategic engine behind complex client relationships, managing a portfolio of high-value enterprise clients while using data to inform client-facing strategies and improve operational processes.

Responsibilities

• Own end-to-end client operations for a portfolio of large health system and hospital clients- proactively monitoring data, surfacing trends, and resolving issues (file delivery issues, ineligibility spikes, payment anomalies, data quality gaps) before they become client-raised escalations
• Work closely with implementations teams to understand the nuances and complexity of each clients setup and be the point person after go live for ensuring continued implementation quality
• Use Metabase, BigQuery, and our internal reporting tools to turn operational signal into client-facing strategy: AR aging deep-dives, ineligibility analyses, and executive-ready process recommendations. Build dashboards to surface important information in a timely manner, and then act on it
• Serve as a credible strategic counterpart to our Client Success team partners and our clients- walking into every conversation with a recommendation, not just data. You are not just fixing things that break, you are a strategic partner with ideas on how we can move the lever for our clients
• Partner cross-functionally on IDR strategy and payer compliance work, leading special projects across the company and org that push our IDR model forward
• Mentor analysts on the team, contribute to playbooks and onboarding documentation, and consistently work to improve our internal processes, always focused on building an operating system that lets CS&O scale

Skills

• 4–6 years in a client-facing operations, strategy, or analytics role such as Client Strategy & Operations, Implementation, or Account Management; experience in either healthtech, RCM, IDR, payer/provider, or healthcare-adjacent enterprise SaaS is required
• Direct experience working with or inside large health systems and hospitals is required. You understand how a hospital revenue cycle actually runs, how its data actually flows, and what the nuances to working with health systems are. You bring SME level experience and are excited to take on incorporating your experience into our product
• Strong SQL fluency, with comfort in BigQuery (or equivalent) and dashboarding tools like Metabase, Looker, or Tableau
• Exceptional communication and presentation skills, with the ability to influence and build trusted relationships with C-level stakeholders and translate complex data findings into one-paragraph executive insights
• Strategic and proactive mindset, with proven ability to manage high-value accounts, drive measurable outcomes, and mitigate risks before they escalate
• Demonstrated success leading cross-functional initiatives and complex client implementations, with strong project management and operational excellence skills
• Experienced mentor and team contributor who thrives in high-growth, fast-paced environments
• Experience at a Series A or early-stage startup
• Experience working with the Independent Dispute Resolution process (IDR)

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

Company Overview