Analyst, State Dispute Operations
Handle state-level healthcare reimbursement disputes with a detail-oriented approach in a fully remote role.
Posted by employer 1 day ago
First seen on Joblaze 3 hours ago
Last verified on the company career page 3 hours ago
What you'll build
- Prepare and submit filings
- Track deadlines, fees and payments
- Manage inbox and correspondence
- Keep case records accurate
- Follow state requirements
Must have
- 2–4 years of experience in data management, operational tracking, revenue cycle operations, claims management, or insurance operations
- Experience with medical billing or coding
- Comfortable in Excel or Google Sheets
Nice to have
- Familiarity with the federal No Surprises Act
- Prior experience with state arbitration programs
- Experience with tools like Asana or Metabase
- Medical billing/coding certification
Practical constraints
- Candidates must be authorized to work in the United States without current or future employer sponsorship
Requirements
- Experience
- 2–4 years
- Visa
- No sponsorship (stated in posting)
Not disclosed in this posting: compensation.
Benefits
Joblaze summary
The State Dispute Analyst at Pivotal Health is responsible for managing the filing and tracking of healthcare reimbursement disputes at the state level, ensuring compliance with varying state-specific processes. This role requires proficiency in data management and familiarity with medical billing, as well as strong attention to detail to prevent delays in provider payments. Ideal candidates will have 2-4 years of relevant experience and be comfortable handling high volumes of work while adhering to strict deadlines. The position is part of a collaborative team focused on improving healthcare reimbursement fairness.
Joblaze insights
- Listed today — first seen on Joblaze October 21, 2026. Last confirmed on Pivotal Health's careers page October 21, 2026.
Quick facts
- Is the Analyst, State Dispute Operations role remote?
- Yes — Pivotal Health lists this as a fully remote position.
- How much experience is required?
- 2–4 years of relevant experience for this Analyst, State Dispute Operations role.
- What seniority level is this role?
- Pivotal Health targets mid-level candidates for this position.
- Is this full-time or contract?
- Full-time for this Analyst, State Dispute Operations role at Pivotal Health.
From the original posting
About the Role
We’re looking for a State Dispute Analyst to handle the day-to-day filing and tracking of Pivotal’s state-level healthcare reimbursement disputes. You’ll prepare and submit disputes through state portals, agencies and arbitration entities. You’ll track deadlines and fees while ensuring accurate case records from filing through resolution.
Each state runs its process differently, with its own deadlines, forms, fees and submission rules. You’ll work from the team’s state-by-state references, follow them closely and flag anything that looks off or has changed. You’ll sit within our dispute operations team while working with our analytics and product teams to keep case data clean.
This is a great fit for someone who is highly detail-oriented, likes fast changing, high-volume work and wants to build expertise in healthcare reimbursement. In this work, one missing detail can delay a provider’s payment.
What You’ll Do
Prepare and submit filings: Enter and submit state dispute and arbitration requests through state portals, agencies and arbitration entities, following each state’s documentation and formatting requirements.
Track deadlines, fees and payments: Monitor filing and response deadlines, process fees and confirm payers pay awarded amounts. Follow up when a payment is late or incorrect.
Manage inbox and correspondence: Monitor shared inboxes, respond to payers, state agencies and arbitration entities, and log next steps for each case.
Keep case records accurate: Update internal systems and spreadsheets with case details and statuses, and close disputes only once they’re fully resolved.
Follow state requirements: Work from state references for eligibility, deadlines, forms and fees, and flag rule changes or gaps so the references stay current.
Flag data issues: Tell our analytics and product teams when a case file is incomplete or inaccurate.
Who You Are
2–4 years of experience in data management, operational tracking, revenue cycle operations, claims management, or insurance operations
Experience with medical billing or coding, and comfortable reading EOBs, claims and reimbursement codes
Comfortable in Excel or Google Sheets, including pivot tables
Highly detail-oriented, and catches inconsistencies in documents and data
Manages high volume and competing deadlines accurately
Comfortable following detailed, state-specific processes
Clear written communicator who asks good questions and flags problems early
Extra Credit Experience
Familiarity with the federal No Surprises Act and how it interacts with state surprise billing laws
Prior experience with state arbitration programs (e.g., New York, New Jersey, Texas)
Experience with tools like Asana or Metabase or other project management tools
Medical billing/coding certification (e.g., CPC)
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
Employment Information
Standard company text repeated across Pivotal Health's postings is omitted here.