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 an Associate General Counsel to join Pivotal as a key member of our legal function and serve as the first legal partner to our General Counsel.

This role sits at the center of the business. You’ll work closely with Product, Engineering, Operations, and Leadership to help us navigate the intersection of healthcare regulation and modern technology. From negotiating commercial agreements to shaping how compliance is built into our platform, you’ll play a direct role in helping the company scale responsibly.

This is an ideal role for a lawyer coming from a top law firm or healthcare-focused practice who wants to make the move in-house and operate closer to the business. You’ll gain broad exposure across contracting, compliance, product counseling, and company operations while helping build the legal foundation of a fast-growing company.

Success in this role means helping the business move quickly while managing risk thoughtfully, translating complex regulatory requirements into practical guidance that allows teams to build and operate with confidence.

What You’ll Do

• Partner with Product and Engineering on regulatory strategy: Advise teams on healthcare regulatory requirements including HIPAA/HITECH and the No Surprises Act, helping translate legal requirements into practical product and operational decisions.
  

• Lead commercial contracting: Draft and negotiate key commercial agreements including MSAs, BAAs, vendor contracts, and partnership agreements while helping build scalable contract templates and playbooks.
  

• Own the day-to-day contracting process: Establish clear review workflows and service levels that allow the business to move quickly while maintaining strong legal protections.
  

• Help build the company’s compliance foundation: Support the development of policies, procedures, and monitoring practices as we establish and scale our compliance program.
  

• Advise internal teams on operational risk: Partner with Operations and leadership to evaluate legal risks and help the company make informed, practical decisions.
  

• Support corporate governance and company operations: Work with the General Counsel on board materials, corporate filings, investor reporting, and other governance matters.
  

• Provide guidance on employment and internal matters: Support HR and leadership on employee-related legal questions, policies, and best practices as the company grows.
  

• Help scale the legal function: Contribute to building legal processes, documentation, and tools that allow the legal function to operate efficiently as the company expands.

Who You Are

• J.D. from an accredited law school and active membership in at least one state bar

• 4+ years of legal experience, ideally with training at a top law firm

• Experience advising on healthcare regulatory frameworks such as HIPAA, AKS, FCA, or similar healthcare regulatory regimes

• Strong drafting and negotiation skills with the ability to translate complex business concepts into clear contractual language

• Ability to provide practical, business-oriented legal guidance in a fast-moving environment

• Excellent communication and relationship-building skills across technical and non-technical teams

• High attention to detail paired with strong judgment and the ability to prioritize effectively

Extra Credit Experience

• Experience working in-house at a technology or healthcare startup

• Familiarity with SaaS contracting and software development life cycles

• Experience supporting healthcare technology or digital health companies

• Experience developing or supporting compliance programs for regulated organizations

Why You’ll Love This Role

• Broad exposure early in your in-house career: You’ll work across contracting, product counseling, compliance, governance, and operations while partnering directly with the company’s General Counsel.
  

• A front-row seat to how a startup operates: You’ll collaborate closely with Product, Engineering, and Operations, helping translate legal requirements into real business decisions.
  

• Real influence on how the company scales: Your guidance will shape how we structure partnerships, manage regulatory risk, and build compliant technology as we grow.
  

• Build systems, not just solve tickets: You’ll help design scalable contracting, compliance, and governance processes that allow the company to move quickly while staying on the right side of regulation.
  

• A fast-growing company solving meaningful problems: We’re building technology that helps healthcare providers navigate complex reimbursement processes and improve financial outcomes.

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.