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Posted 2 hours ago

Staff Accountant

at Pivotal Health

Lower Manhattan, United StatesHybrid

Responsibilities

  • Ensure accuracy, timeliness, and consistency across all core workflows. - Build a Predictable Close Process: Help design and strengthen our month-end and year-end processes so we move from reactive processes to a robust and structured full accounting process.
  • Improve documentation, controls, and accountability so we consistently hit deadlines with confidence. - Partner Across the Business: Serve as a trusted partner to Operations, Sales, and FP&A on invoicing, commissions, reconciliations, and reporting.
  • Coordinate directly with cross-functional teams to resolve discrepancies and improve clarity. - Support ERP Implementation and Optimization: Play an active role in implementing and refining our new ERP system.
  • Recommend and implement improvements that increase accuracy, reduce friction, and prepare us for growth and audit readiness. - Prepare Us for Audit & Scale: Help ensure our financial records are well-documented and audit-ready as we prepare for our first financial audit and continued growth.

Requirements

  • Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows.
  • experience - Bachelor’s degree in Accounting or equivalent hands-on accounting
  • experience with demonstrated mastery of core principles. - Strong understanding of GAAP and core accounting principles - Hands-on
  • experience with NetSuite, Acumatica, or similar ERP systems - Advanced Excel skills (pivot tables, complex formulas, large dataset analysis) - Experienced in monthly close and balance sheet reconciliations - Comfortable working with high volumes of transactional data - Able to communicate clearly with both finance and non-finance stakeholders EXTRA CREDIT EXPERIENCE -
  • Experience implementing or optimizing ERP systems - Background in high-growth or fast-paced environments - Exposure to financial audits -

Experience

  • WHO YOU ARE - 5+ years of progressive accounting

Benefits

  • 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.
  • 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.
  • Equal Employment Opportunity Pivotal Health is an Equal Opportunity Employer.

Additional details

  • 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.
  • 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.
  • WHAT YOU’LL DO - Own Core Accounting Operations: Take responsibility for weekly customer billing, cash postings, expense report reviews, AP processing, reconciliations, and key components of the monthly close process.
  • Participate in testing, validation, reporting design, and process improvements to ensure the system supports scale. - Improve Systems and Reduce Manual Work: Identify inefficiencies and areas of risk in current processes.
  • Experience automating billing, reporting, or reconciliation workflows 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.

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