Principal Client Success Manager

The role

You will own and grow a portfolio of strategic health system accounts. You will serve as a strategic advisor to revenue cycle leaders and guide clients through the No Surprises Act / IDR dispute process.

What you will do

• Own and grow a focused portfolio of largest and most strategic health system accounts
• Serve as a strategic advisor to revenue cycle leaders and executive stakeholders
• Guide clients through the No Surprises Act / IDR dispute process
• Build playbooks, glossaries, and shared frameworks for account management
• Act as the voice of the client for Product, Engineering, and Operations
• Read and interpret account-level data to provide recommendations
• Lead strategic account planning and QBRs
• Resolve complex and sensitive client situations

Required qualifications

• 5–10+ years in a client-facing role such as Client Success, Account Management, or client-facing strategy/consulting
• Deep healthcare revenue cycle experience (RCM, payer/provider, or health systems)
• Proven ability to manage complex, high-value, strategic accounts
• Exceptional communication and executive presence
• Ability to work with data, reporting, and account-level analytics
• AI-literate
• Highly organized with strong operational discipline (CRM, workflows, forecasting)
• Comfortable operating in ambiguity and a fast-moving environment

Nice to have

• Experience in healthcare, health tech, or IDR
• Experience at an early-stage or scaling company
• Management consulting background
• Experience building or evolving a Client Success function
• Background in operations, analytics, or strategy

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

Before you apply

• Candidates must be authorized to work in the United States without current or future employer sponsorship
• Employment is contingent upon successful completion of applicable background checks

About the company

Pivotal Health is a technology platform that helps healthcare providers get paid fairly through an AI-driven platform that simplifies reimbursement workflows.