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Pivotal Health is a technology platform helping healthcare providers navigate complex reimbursement landscapes and recover underpaid claims through an AI-driven IDR (Independent Dispute Resolution) solution. The company combines software, data, and services to simplify reimbursement workflows and reduce administrative burden for providers.
You will become the second owner of Pivotal's pro forma model—the financial model that estimates client revenue from IDR disputes and determines Pivotal's fee structure on every deal. This is a hands-on role with direct ownership of a growing queue of deal requests that drive real revenue decisions.
Key responsibilities include:
- Learning Pivotal's pro forma model and methodology directly from the original architect
- Developing deep understanding of IDR economics and Pivotal's business model
- Owning the pro forma request queue with a 1–2 day turnaround per deal, scaling as volume grows
- Partnering closely with Sales and Customer Success teams on live deal requests
- Growing into a more strategic role in model evolution and methodology refinement
You should have 2+ years in Revenue Operations, Finance, Strategy, Consulting, or similar analytical roles. Strong spreadsheet skills and deal-sizing experience are essential. You're detail-oriented, comfortable with high-volume workflows, and can work effectively with sales teams without needing to dominate conversations. Experience in Rev Ops, B2B SaaS sales cycles, enterprise deals, consulting, startups, or healthcare is valued but not required. SQL or BI tools familiarity is a plus.
Pivotal is a collaborative, low-ego team focused on making healthcare reimbursement fairer. The company offers competitive compensation with equity, full health/dental/vision coverage, 401(k), and flexible time off. While core hubs are Los Angeles and New York, the company considers exceptional remote talent; specific flexibility varies by role.