Principal Client Success Manager

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
Pivotal Health is looking for a Principal Client Success Manager to own our most complex and highest-value relationships—including multi-hospital health systems and enterprise providers—and to set the standard for how we serve them. This is our most senior individual-contributor role in Client Success: a seat for someone who wants to stay close to the work, be the trusted advisor in the room with revenue cycle leaders, and raise the bar for the whole function without stepping into people management.
You’ll manage a focused book of strategic accounts, guiding health systems through the No Surprises Act / IDR dispute process and turning complex billing, claims, and reimbursement workflows into measurable outcomes. You’ll be a 0→1 builder where it counts—developing the playbooks, frameworks, and systems that scale how we operate, while staying nimble and hands-on as we grow into larger, more complex health systems.
What You’ll Do
- Own and grow a focused portfolio of Pivotal’s largest and most strategic health system accounts (multi-hospital systems and enterprise providers) with a focus on retention, expansion, and long-term partnership success.
- Serve as a trusted strategic advisor to revenue cycle leaders and executive stakeholders within health systems, articulating value and ROI and building the relationships that anchor multi-year partnerships.
- Guide clients through the No Surprises Act / IDR dispute process, translating complex billing, claims, and reimbursement workflows into clear, measurable outcomes.
- Define what “good” looks like across account management, communication, and follow-through, building the playbooks, glossaries, and frameworks that create consistency across the team.
- Act as the voice of the client, synthesizing feedback, patterns, and friction points across your accounts and translating them into clear insights for Product, Engineering, and Operations.
- Read and interpret account-level data (dips, spikes, and trends) to understand the “why,” and turn analytics into narrative, recommendations, and action.
- Lead strategic account planning and QBRs, partnering closely with Sales to identify and advance expansion opportunities across your portfolio.
- Step into the most complex and sensitive client situations as a senior individual contributor, resolving issues quickly, calmly, and effectively.

What We’re Looking For
- 5–10+ years in a client-facing role such as Client Success, Account Management, or client-facing strategy/consulting; experience in healthcare, health tech, or IDR strongly preferred.
- Deep healthcare revenue cycle experience (RCM, payer/provider, or health systems), ideally including No Surprises Act / IDR, billing, claims, and reimbursement.
- Proven ability to manage complex, high-value, strategic accounts—ideally across multiple hospitals or health systems rather than a single account.
- Exceptional communication and executive presence, with the abilit