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Analyst, State Dispute Operations
Pivotal Health
Remote · United States$4,507–5,200 gross/mofull-timePivotal Health Careers
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.
Responsibilities
- 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.
Languages
- Work format
- Remote
- Seniority
- Mid
- Posted
- 19 Oct 2026
- Last verified
- In the last 5 days
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