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

We're hiring our first dedicated IT Manager. We're opening a new NYC office, adding people quickly across NY, LA, and remote teams, and bringing IT support in-house. You'll be the go-to person for everything IT at Pivotal, from a new hire's first login to the conference room screen that won't connect.

This is a hands-on role with no direct reports today. You'll build IT from the ground up: set up how we support employees, manage our IT vendors, keep our offices running, and make everyday tech feel effortless. Because we work in healthcare under SOC 2 and HIPAA, you'll also partner closely with our Security Platform team to keep access and devices in good shape.

What You’ll Do

• Own Employee Support & the Help Desk: Be the first person employees go to for IT help, in person in NYC and remotely for everyone else. Own our help desk (FreshService), set up Slack-based triage, write self-serve answers for common issues, troubleshoot macOS and Windows hardware and software, and track recurring issues so fewer of them come back.

• Run Onboarding, Offboarding & Access: Make sure new hires are ready on day one and leavers lose access on time. Manage accounts and app access through Rippling, our source of truth for access, and partner with People Ops on the new-hire pipeline and device timing.

• Manage Devices & Assets: Buy and provision laptops, monitors, and peripherals, and help move us toward remote (MDM) provisioning. Keep an accurate inventory of who has which device and what spares each office has, and plan hardware needs against the hiring plan so shortages don’t slow onboarding.

• Keep Our Offices & Conference Rooms Running: Own conference room tech across NY (Neat) and LA (Logitech), including daily room checks. Support Zoom and Google Meet, help standardize meeting rooms on one platform, keep office networking and Wi-Fi running with our network vendor, and be our on-site tech lead as we open and grow the new NYC office.

• Administer SaaS Tools & Vendors: Administer core tools including Google Workspace, Slack, Zoom, Notion, Microsoft 365, Asana, Linear, and GitHub. Manage licenses, watch usage, and run regular access reviews. Manage our outsourced IT provider and other IT vendors: decide what to handle in-house and what to escalate, and hold vendors to clear expectations.

• Partner on Security: Work with the Security Platform team on device compliance, access reviews, and security awareness rollouts. Security strategy and tooling stay with that team.

Who You Are

• 8+ years in IT support or IT operations, with meaningful time as the go-to IT person in a professional office.

• You’ve worked at small or mid-sized, fast-growing companies, ideally with more than one office (tech, e-commerce, retail, or similar).

• Hands-on experience supporting macOS and Windows, administering Google Workspace and Slack, and running conference room and AV setups (Neat Bar/Pad, Logitech, or similar).

• Experience managing IT vendors and hardware purchasing.

• You’re patient, low-ego, and calm when people are frustrated, and you explain tech clearly to non-technical coworkers.

• You’re highly organized: you document, track, and follow through without being chased, and you’re comfortable being interrupted all day while still getting projects done.

• You’re resourceful: you solve problems with the tools and processes we already have before reaching for new software, and you’re curious about using AI and automation to take the repetitive work out of IT.

• You work on your own, set your own priorities, and flag what needs attention early.

Extra Credit if you have:

• Rippling, Okta, or Microsoft 365 administration experience

• Experience with MDM tools (Jamf, Kandji, Intune, or similar)

• Experience with a help desk platform such as FreshService, Jira Service Management, or Zendesk

• Experience supporting a regulated environment (healthcare, SOC 2, HIPAA)

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.