---
title: 'Product Manager (Case Strategy) at Pivotal Health'
canonical: 'https://feeny.ai/job/product-manager-case-strategy-pivotal-health-williamsburg-5jk8mmsns8d1'
type: 'job'
last_seen: '2026-11-08'
---

# Product Manager (Case Strategy) at Pivotal Health

- **Company:** Pivotal Health
- **Location:** Williamsburg, NY
- **Compensation:** $145k–$170k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-11-03
- **Last confirmed live:** 2026-11-08
- **Apply:** https://jobs.ashbyhq.com/pivotal-health/84fa3036-18fb-450b-8ab7-c308c5d257fd

## Job description

## 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 the Role

When an insurer underpays a healthcare provider for out-of-network care, the provider can dispute it through Independent Dispute Resolution (IDR), a federal arbitration process. Pivotal runs that process for our clients. Case Strategy decides how we fight each dispute: whether to settle early in open negotiation, what offer to make, which arbiter (IDRE) to pick, and what we argue in our position statement. Those decisions determine how much our clients recover. It’s the largest product area at Pivotal, and it sits where user-facing product, Ops process design and AI meet. The foundation is in place. Now we need to build the feedback loops that make it better over time: turning what Ops does by hand into product (and improving those processes along the way), using LLM judges and evals to improve our position statements, and building ML models and running experiments to find the best offer and IDRE selection strategy. All of it ladders up to one number: how much we recover per claim. Models only work if the operations around them do. Today, our Ops team fills the gaps in our product. You’ll start by learning how Ops works, then turn what you find into product and own initiatives of your own. You’ll report to our Product Lead. This is a hands-on role at a startup with no set playbook. You’ll need to take initiative, dig into the data, ask a lot of questions, and build process and product together.

## What You’ll Do

- 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.

## Who You Are

- 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.

Extra credit if you have:

- Healthcare experience, especially in revenue cycle or payers, or familiarity with the No Surprises Act and IDR

## Why You’ll Love Working Here

We’re a collaborative, low-ego team on a mission to make healthcare reimbursement fairer for providers. While we primarily hire around our core hubs–Los Angeles and New York–we remain open to exceptional talent outside those regions. Remote and hybrid flexibility varies by role and team, and is outlined in each job description. If you’re excited by solving complex problems and making a real-world impact, we’d love to hear from you. Benefits Include:

- 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

Ready to Make an Impact? We’re building something meaningful; and we want you on the team. Bring your ideas, curiosity, and drive, and let’s transform healthcare reimbursement together.

Employment Information Work Authorization Candidates must be authorized to work in the United States without current or future employer sponsorship.

## Equal Employment Opportunity

Pivotal Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status. Reasonable Accommodations Pivotal Health provides reasonable accommodations for qualified individuals with disabilities in accordance with applicable laws. If you need assistance during the application or interview process, please let us know. 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.

## About Pivotal Health

## Company Overview
- **One-liner**: Pivotal Health provides a full-service Independent Dispute Resolution (IDR) platform that combines software, data, and AI to help healthcare providers secure fair reimbursement from payers.
- **Entity Type**: Private (Startup)
- **Headquarters**: Morrison, Colorado, United States
- **Founded**: 2022
- **Founders**: Max Mangum and Josh Folds

## Core Business
- **Primary industry**: Healthcare Technology / Revenue Cycle Management (RCM) / Independent Dispute Resolution (IDR)
- **Target customers**: B2B — healthcare providers, including independent physician groups, hospital systems, and RCM teams
- **Mission**: Create technology that helps providers achieve fair reimbursement.
- **Vision**: Restore the balance between providers and payers.

## Products & Services
- **Pivotal Health IDR Platform**: A full-service, technology-driven Independent Dispute Resolution platform. It combines software, proprietary data, and AI to automate and manage the entire IDR workflow under the No Surprises Act. The platform integrates with all major hospital-based RCM systems and handles eligibility, dispute filing, and reimbursement tracking.
- **White-Glove Service**: A high-touch, outcomes-aligned service model where Pivotal Health only gets paid after the client gets paid. No hidden fees, no lock-in contracts.

## Market Standing
- **Valuation/Market Cap**: Not publicly available (private company)
- **Key Metric**: Total Funding — Not publicly disclosed; company is privately held and appears to be growth-stage (41 employees, rapid hiring).
- **Notable Investors/Partners**: Not publicly disclosed. The company was founded by Max Mangum and Josh Folds, who previously built Radix Health (the company's former name).
- **Growth Signals**: Headcount grew **414.3% year-over-year** to 41 employees. The company rebranded from Radix Health to Pivotal Health in 2025. It is actively hiring across engineering, sales, and operations roles (41 open positions as of mid-2025). Monthly headcount growth is +26.3%.

## Competitive Advantages
- **Outcomes-Aligned Pricing**: Pivotal Health is the only IDR partner that gets paid *after* the client gets paid, creating a strong alignment of incentives and reducing financial risk for providers.
- **Full-Service Platform**: Combines proprietary software, data intelligence, and AI with a white-glove service team, offering a complete solution rather than just a point tool.
- **Deep Integration**: Integrates with all major hospital-based RCM platforms, making setup seamless and reducing friction for provider clients.
- **Founding Team Insight**: Founded by Max Mangum and Josh Folds, who have deep domain expertise in healthcare reimbursement and built the company from a personal mission to fix a broken system.

## Strategic Focus
- **Product & AI Development**: Heavy investment in AI/ML engineering (hiring Senior Applied AI/ML Engineers and a Senior Applied Scientist for Decisioning) to further automate and optimize the IDR workflow.
- **Platform Integration**: Building out systems integration capabilities (hiring Staff and Senior Software Engineers for Systems Integration) to connect seamlessly with more RCM platforms.
- **Scaling the Team**: Rapidly growing headcount (414% YoY) across all departments, with a focus on engineering, sales, and client success to support expanding provider partnerships.
- **Rebranding & Market Positioning**: The recent rebrand from Radix Health to Pivotal Health signals a strategic push to own the "fair reimbursement" narrative and expand beyond the initial IDR use case.

## Why Work Here
- **Mission-Driven Work**: Employees directly contribute to restoring fairness in the healthcare reimbursement system, helping providers get paid fairly for the care they deliver.
- **High Growth Environment**: The company is scaling extremely fast (414% headcount growth YoY), offering significant career growth opportunities and the chance to shape processes and culture.
- **Hybrid Work Model**: Pivotal Health operates with a hybrid workspace, with offices in Morrison, Colorado, and New York, NY. Employees engage in a combination of remote and on-site work.
- **Strong Engineering Culture**: The company is investing heavily in AI/ML and platform engineering, with open roles for Staff Security Engineers, Senior Applied AI/ML Engineers, and Senior Platform Engineers.
- **Outcomes-Aligned Philosophy**: The company's "get paid when you get paid" model extends to its culture, emphasizing transparency, fairness, and partnership.

## Sources
1. [pivotalhealth.ai](https://pivotalhealth.ai/)
2. [pivotalhealth.ai/about-us](https://pivotalhealth.ai/about-us)
3. [pivotalhealth.ai/careers](https://pivotalhealth.ai/careers)
4. [LinkedIn](https://www.linkedin.com/company/pivotal-health-ai)
5. [Built In](https://builtin.com/company/pivotal-health)

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