Manager, IDR and Industry Relations at Pivotal Health — Williamsburg, NY

# About Pivotal Health

## What You'll Do

### IDR Subject Matter Expertise

• Serve as an internal expert on Federal IDR requirements, regulations, guidance, and industry trends
• Partner with Client Success and Operations teams to address complex client questions and escalations
• Support client meetings where specialized IDR expertise is needed
• Develop educational materials and guidance for clients and internal stakeholders
• Provide recommendations regarding filing strategy, operational impacts, and emerging regulatory developments

### IDRE Relationship Management

• Own strategic relationships with all major IDREs
• Conduct recurring business reviews with IDRE partners
• Monitor IDRE turnaround times, operational issues, and dispute outcomes
• Serve as Pivotal’s primary point of contact for IDRE-related initiatives and opportunities

### Regulatory Monitoring & Industry Intelligence

• Track CMS guidance, Final Rules, FAQs, court decisions, and other developments impacting the No Surprises Act
• Translate regulatory changes into operational and product recommendations
• Develop summaries and briefings for leadership, clients, and internal teams
• Partner with Product and Operations teams to ensure readiness for future regulatory changes

### Industry Engagement & Advocacy

• Represent Pivotal in industry associations, conferences, and working groups
• Participate in industry discussions regarding NSA implementation and future regulatory developments
• Help strengthen Pivotal’s reputation as a thought leader within the IDR space

### Internal Enablement

• Deliver ongoing education and training to Client Success, Operations, and Product teams
• Build and maintain a centralized repository of IDR guidance and best practices
• Create recurring updates highlighting industry trends and regulatory changes
• Support onboarding and training of new team members

## Who You Are

• Deep familiarity with the No Surprises Act and Federal IDR process
• Experience working with healthcare providers, payors, IDREs, or organizations supporting the Federal IDR ecosystem
• Strong written and verbal communication skills
• Experience managing external stakeholder relationships
• Ability to interpret complex regulatory information and communicate it clearly to different audiences
• Highly organized and comfortable managing multiple priorities
• Experience working directly with CMS-related programs or IDRE organizations
• Experience presenting educational content, webinars, conferences, or industry forums
• Healthcare operations, reimbursement, or dispute resolution experience
• Existing relationships within the Federal IDR ecosystem

## Why You’ll Love Working Here

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

Work Authorization

Equal Employment Opportunity

Reasonable Accommodations

Background Checks

At-Will Employment