
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.
The pod runs on short loops. You'll hear a problem on a customer call, have a prototype in that customer's hands within a week or two, and then use what they do with it to decide what's next. Some ideas will turn into products. Many won't, and dropping those quickly counts as a good result. You'll help make those calls as a peer, not just carry them out.
You'll have more help than a typical zero-to-one engineer. You can build on our production IDR platform, years of reimbursement data, shared AI tooling, and operations experts who know our customers' workflows in detail. When something works, you'll have a clear path to scale it with the broader engineering org instead of carrying it alone.
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.
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.
Candidates must be authorized to work in the United States without current or future employer sponsorship.
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.
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.
Employment is contingent upon successful completion of applicable background checks, where permitted by law.
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.

Pivotal Health (formerly Radix Health) helps healthcare providers and health systems achieve fair reimbursement through Independent Dispute Resolution under the No Surprises Act.
Our platform combines software, proprietary data, expertise, and AI to manage this complex process end to end, delivering proven results while reducing administrative burden.
We integrate with all major hospital-based RCMs, and support a range of providers organizations, from independent physician groups to established health systems.
Built on transparency, alignment, and results — no fluff, no contract lock-ins, and no commission until after our clients are paid.