Account Executive
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 this Role
Pivotal Health is looking for a full-cycle Account Executive to join our early team and help shape the future of our go-to-market engine. This is not a “cog-in-the-machine” sales role — this is a rare opportunity to join a company that’s early enough for outsized impact but established enough to have validated product-market fit and real customer traction.
If you’re the type who thrives in fast-moving environments, loves building while selling, and gets energized by owning a number end-to-end, you’re going to feel at home here. You’ll have the autonomy to run your business, the support of a founder-led GTM organization, and uncapped earnings potential in one of the highest-leverage roles in the company.
We want sellers who are tenacious, creative, proactive, and hungry to win — not just close deals, but influence playbooks, messaging, and the growth trajectory of the entire business.
What You’ll Do
Own the full sales cycle: prospect, pitch, demo, negotiate, and close new business with speed and precision.
Build pipeline proactively through outbound, referrals, events, and anything else you know drives results. No waiting for leads here.
Craft compelling narratives that speak directly to customer pain and clearly articulate product value and ROI.
Partner closely with leadership to shape sales strategy, messaging, pricing, and market positioning.
Help define our go-to-market playbook, bringing creativity and data-driven insights to how we scale revenue.
Collaborate with Product and Marketing to relay customer insights, refine the roadmap, and inform demand-gen efforts.
Represent the brand with confidence and clarity, becoming a trusted advisor and relationship-builder with prospects and partners.
Consistently hit revenue targets while maintaining a ruthless focus on execution and continuous improvement.
Who You Are
3+ years of B2B software sales experience, consistently carrying a quota or revenue target.
Experience with a CRM tool (Hubspot, Salesforce, etc.)
Thrives in ambiguity: comfortable operating in an early-stage environment where the playbook is being built as you go.
Gritty, hungry, and tenacious: you take initiative, push past obstacles, and keep momentum when things get messy.
Experience selling into healthcare providers, payers, or highly related industries.
Extra Credit Experience
Background in early-stage startups or high-growth environments where structure was being built on the fly.
Experience creating or contributing to sales enablement materials and processes.
Why You'll Love the Role
High impact: Own your deals, shape processes, and see the direct effect of your work on revenue and growth.
Early-stage energy: Join a team where structure is being built as we scale. Your ideas and initiative will define how we operate.
Autonomy & ownership: Manage inbound leads while hunting new business; drive results your way.
Collaborative culture: Work closely with the CRO, leadership, and cross-functional teams to build repeatable sales processes.
Growth & upside: Competitive compensation with potential to grow with the company and influence the go-to-market strategy.
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.