Executive Business Partner
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 looking for a highly capable Executive Business Partner to support our executive team and help drive managerial excellence across the company.
This role goes beyond traditional administrative support. You’ll operate as a strategic partner to leadership, helping manage priorities, streamline operations, and ensure the executive team is focused on the highest-impact work.
You’ll sit at the center of leadership coordination: managing complex schedules, organizing leadership meetings, supporting key initiatives, and ensuring important decisions translate into action. The right person thrives in fast-moving environments, anticipates needs before they arise, and brings clarity and structure to busy executives and evolving priorities.
If you enjoy solving problems, keeping leaders organized, and playing a critical role behind the scenes of a growing company, this role offers meaningful ownership, visibility, and the opportunity to grow alongside the business.
Key Responsibilities
Executive Partnership & Calendar Strategy
Manage complex executive calendars, ensuring leadership time is aligned with the company’s highest priorities.
Anticipate scheduling conflicts and proactively optimize calendars to create focus and efficiency.
Act as a gatekeeper for executive time while maintaining a high level of responsiveness and professionalism.
Leadership Operations
Coordinate and support key leadership meetings, including executive team meetings, board preparation, and cross-functional reviews.
Prepare agendas, organize materials, capture notes, and track follow-ups to ensure decisions translate into action.
Help maintain alignment across leadership by ensuring communication and next steps are clear.
Cross-Functional Coordination
Serve as a key coordination point between executives and teams across the organization.
Help manage inbound requests, ensuring priorities are properly triaged and addressed.
Assist in keeping cross-functional initiatives organized and moving forward.
Project & Initiative Support
Provide operational support for strategic initiatives led by the executive team.
Track progress, maintain documentation, and help ensure timelines and commitments stay on track.
Step in to solve problems and remove operational friction where needed.
Executive Logistics
Manage travel planning, expense reporting, and logistical coordination for executives.
Support planning and execution of leadership offsites, company events, and team gatherings.
Ensure executives are well-prepared for meetings, presentations, and key interactions.
Is This You?
8+ years of experience supporting senior executives in a fast-paced environment.
Experience operating as an Executive Business Partner, Senior Executive Assistant, or Chief of Staff–adjacent role.
Exceptional organizational skills with the ability to manage competing priorities and complex calendars.
Highly proactive: you anticipate needs before they arise and take initiative to solve problems.
Excellent written and verbal communication skills.
Comfortable working in a startup or high-growth environment where priorities evolve quickly.
High level of professionalism, discretion, and judgment when handling sensitive information.
Strong attention to detail with a bias toward action and follow-through.
Tech-savvy and comfortable working with modern productivity tools (Google Workspace, Slack, Notion, etc.).
Extra Credit Experience
Experience supporting founders or C-level executives at a startup.
Experience helping manage board meetings or investor communications.
Background coordinating cross-functional initiatives or leadership projects.
Experience planning executive offsites or company-wide events.
Interest in growing into broader operations, strategy, or Chief of Staff roles over time.
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.