Note: The job is a remote job and is open to candidates in USA. Pivotal Health runs the IDR process for healthcare providers disputing underpaid out-of-network claims. The Product Manager will improve case strategy and recovery per claim by translating operational gaps into product, using models and experiments to improve decisions, and owning initiatives from discovery through launch.
Responsibilities
- Bring structure to messy problems: A lot can go wrong across the IDR process. When something breaks, dig in, size it with numbers, find the root cause, and lay out clear options so the team can act
- Close the gaps between Ops and product: Learn how Ops works day to day, find where manual work is filling holes in the product, and turn it into product
- Make our decisions smarter: Use models, experiments and LLM evals to improve the offers we make, the IDREs we select and the position statements we submit
- Shape the roadmap: Use what you learn from Ops, the data and our experiments to help decide what we build next and why
- Own initiatives from discovery to launch: Define the problem, write clear requirements, and decide what to build first. After launch, measure whether it worked and keep iterating
- Partner closely with Engineering: Work through technical tradeoffs, break big problems into practical releases, and keep initiatives moving with consistent follow-through
Skills
- 3 to 5 years of experience, including banking or management consulting and at least a year at a startup in strategy, ops or product
- Strong quantitative skills. You build clear, concise, auditable spreadsheets and have a strong understanding of math and statistics
- Proficient in SQL. You can pull and check your own numbers
- Technical enough to work closely with engineers. You follow the tradeoffs and push for a decision
- Detail oriented. You notice when a number looks off, and you bring structure and clarity to messy problems
- Proactive. You spot problems early, ask a lot of questions, and act without being told
- Always learning. You pick up new domains and tools quickly, and you're excited to keep growing
- Clear, concise writing that turns messy information into specs and updates people can act on
- You use AI tools every day and know what to double check
- You want to build product
- Candidates must be authorized to work in the United States without current or future employer sponsorship
- Healthcare experience, especially in revenue cycle or payers, or familiarity with the No Surprises Act and IDR
Benefits
- Equity
- Full health, dental, and vision coverage
- Retirement savings plan through 401(k)
- Flexible time off
- Opportunities for company-wide connection and events
- Remote and hybrid flexibility varies by role and team; this role is hybrid.
Company Overview