Associate General Counsel

🔥 11 minutes ago

🏄 California, New York – Remote

🏄 California – Remote 🗽 New York – Remote

💵 $200k - $225k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚖️ Legal Counsel / General Counsel

🚫👨‍🎓 No degree required

👻 Ghost score 20%

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Pivotal Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 Pre seed on 2024-01

Healthcare • Consulting • Logistics

Pivotal Health is a healthcare technology company that provides the industry’s only full-service Independent Dispute Resolution (IDR) platform, combining software, data, and white-glove services to help providers secure fair reimbursement from payers. Their scalable, integrated SaaS platform automates IDR workflows, connects with major revenue cycle management systems, and manages eligibility, submissions, and appeals on behalf of provider organizations. Pivotal Health serves hospitals and specialty practices with a results-driven, outcome-aligned business model (paid after client success) and emphasizes transparency, high client retention, and measurable revenue recovery.

📋 Description

• Advise on billing and reimbursement questions and establish Pivotal’s position with health plans • Negotiate directly with health plans to resolve payment disputes and recover provider reimbursement • Define and operationalize the process for collecting arbitration awards • Evaluate litigation strategies and develop pre-litigation escalation plans • Advise product and operations teams on healthcare regulatory matters • Translate regulatory requirements into systems, tools, and platform features • Review and negotiate vendor agreements, BAAs, NDAs, and MSAs alongside the Deputy General Counsel • Create legal workflows and templates to scale the legal team • Counsel the business on general legal matters across teams

🎯 Requirements

• Mid-level healthcare regulatory attorney from a top law firm or healthcare organization • Experience with healthcare regulatory, operational, and contracting matters • Experience advising on provider billing and payer reimbursement questions • Experience negotiating payment disputes directly with health plans • Ability to evaluate litigation strategies and develop pre-litigation plans • Ability to translate healthcare regulatory requirements into systems, tools, and platform features • Experience reviewing and negotiating vendor agreements, BAAs, NDAs, and MSAs • Experience building legal workflows and templates from the ground up • HealthTech or healthcare technology experience preferred as extra credit • IDR or No Surprises Act dispute work preferred as extra credit • Experience working directly with state or federal regulators preferred as extra credit • Must be authorized to work in the United States without current or future employer sponsorship • Successful completion of applicable background checks, where permitted by law

🏖️ Benefits

• 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 • Remote and hybrid flexibility