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Pivotal Health is a technology platform helping healthcare providers navigate complex reimbursement landscapes and dispute underpaid claims through an AI-driven, full-service solution. The company combines software, data, and service to simplify IDR (Independent Dispute Resolution) workflows and reduce administrative burden for providers.
As Senior Implementation Manager, you will own client implementations end-to-end, from Sales handoff through go-live and transition to Client Success. You'll report to the Implementation Lead and manage two distinct implementation tracks: fast-moving physician group implementations following repeatable processes, and slower, more complex health system implementations involving multiple stakeholders across IT, revenue cycle, and finance.
Key responsibilities include:
- Independently manage clients from Sales handoff through launch, owning project plans, timelines, dependencies, and launch readiness
- Configure SFTP access and client settings, validate claims file receipt, and perform initial file validation
- Lead client communications including kickoffs, working sessions, and status updates; aim to lead routine calls within 45 days
- Set clear time-to-value timelines and proactively address blockers before they impact launch schedules
- Coordinate training, readiness checks, and documentation for smooth handoff to Client Success
- Partner with Product, Engineering, Sales, and Client Success to clarify requirements and resolve dependencies
- Identify recurring issues and recommend practical improvements to the implementation process
This is a hands-on individual contributor role with significant client ownership and the opportunity to shape processes early in the company's growth.
REQUIREMENTS:
- 4+ years of experience in implementation, onboarding, solutions delivery, or project management with direct ownership of client engagements
- Experience in a startup or fast-paced environment with comfort adapting to evolving processes and priorities
- Hands-on experience with SFTP file transfers, implementation configuration, and initial data/file validation
- Demonstrated ability to independently manage multiple implementations, lead client calls, anticipate issues, and drive follow-through
- Clear, professional communication and sound judgment managing client expectations and escalating risks
- Enthusiasm for an individual contributor role on an early-stage team
- Experience implementing technology or operational solutions for healthcare clients
EXTRA CREDIT:
- Health system implementations involving IT, revenue cycle, and finance stakeholders
- Experience with provider organizations or revenue cycle partners
- EHR integrations (e.g., Epic) and technical discussions with engineering teams
- Familiarity with 835/837 claims data formats or healthcare reimbursement workflows
- Experience improving implementation documentation, templates, or workflows, including automation initiatives
- Proficiency with Asana, HubSpot, Metabase, BigQuery, SQL, or AI productivity tools
