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

This is an opportunity for a strategic, high-impact Senior HR Business Partner to play a critical role in shaping how Pivotal Health will scale. We’re looking for someone who thrives in ambiguity, enjoys building from the ground up, and wants a true seat at the table partnering closely with leadership on organizational strategy, talent, performance, engagement, and culture. This is far more than a traditional HR support role; you’ll influence key business decisions, build scalable people programs, guide leaders through growth and change, and help create the infrastructure needed for the next stage of the company’s evolution. The ideal candidate brings deep HRBP experience within high-growth environments, strong business acumen, and the confidence to challenge thinking, drive alignment, and lead proactively in a fast-paced, evolving organization.

What You’ll Do

• Partner closely with leadership and people managers to provide strategic HR guidance across organizational design, talent strategy, performance management, employee engagement, and team effectiveness

• Build and scale people programs, processes, and infrastructure that support a rapidly growing organization

• Lead and evolve performance management initiatives, ensuring processes are scalable, effective, and aligned to company goals and culture

• Support organizational planning efforts including workforce planning, leveling, compensation philosophy, and change management initiatives

• Partner cross-functionally with leadership and teams across the business to improve employee experience, manager effectiveness, and organizational health

• Help navigate periods of rapid growth, restructuring, and organizational change with a thoughtful, business-minded approach

• Drive culture and engagement initiatives that strengthen collaboration, accountability, and employee retention

Who You Are

• 7+ years of progressive HR experience, including at least 3+ years in a true HR Business Partner capacity supporting leaders and organizations at scale

• Experience operating within high-growth, scaling environments such as Series A/B+ startups or similarly fast-paced companies

• Proven ability to build and implement people programs, processes, and infrastructure from the ground up

• Strong executive presence with the ability to influence, challenge, and partner credibly with senior leaders, including VPs and Directors

• Demonstrated ability to drive decision-making using people data and organizational insights, including metrics related to attrition, engagement, headcount, and performance

• Broad HRBP expertise across the employee lifecycle, including talent management, organizational design, performance management, compensation philosophy, employee relations, and workforce planning

• Ability to operate independently in ambiguous environments while balancing strategic thinking with hands-on execution

• Strong business acumen and a proactive, solutions-oriented mindset with a focus on scalability and long-term organizational health

Extra Credit Experience

• Experience supporting teams within high-growth startup environments and navigating rapid organizational scaling

• Background in healthcare, healthtech, or highly regulated/compliance-driven industries

• Prior people management experience, including mentoring or leading HR team members

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.