Senior Human Resource Business Partner

About Pivotal HealthPivotal 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 RoleThis is an opportunity for a strategic, high-impact Senior HR Business Partner to play a critical role in shaping how Pivotal Health will scale. We’re looking for someone who thrives in ambiguity, enjoys building from the ground up, and wants a true seat at the table partnering closely with leadership on organizational strategy, talent, performance, engagement, and culture. This is far more than a traditional HR support role; you’ll influence key business decisions, build scalable people programs, guide leaders through growth and change, and help create the infrastructure needed for the next stage of the company’s evolution. The ideal candidate brings deep HRBP experience within high-growth environments, strong business acumen, and the confidence to challenge thinking, drive alignment, and lead proactively in a fast-paced, evolving organization.What You’ll DoPartner closely with leadership and people managers to provide strategic HR guidance across organizational design, talent strategy, performance management, employee engagement, and team effectivenessBuild and scale people programs, processes, and infrastructure that support a rapidly growing organizationLead and evolve performance management initiatives, ensuring processes are scalable, effective, and aligned to company goals and cultureSupport organizational planning efforts including workforce planning, leveling, compensation philosophy, and change management initiativesPartner cross-functionally with leadership and teams across the business to improve employee experience, manager effectiveness, and organizational healthHelp navigate periods of rapid growth, restructuring, and organizational change with a thoughtful, business-minded approachDrive culture and engagement initiatives that strengthen collaboration, accountability, and employee retentionWho You Are7+ years of progressive HR experience, including at least 3+ years in a true HR Business Partner capacity supporting leaders and organizations at scaleExperience operating within high-growth, scaling environments such as Series A/B+ startups or similarly fast-paced companiesProven ability to build and implement people programs, processes, and infrastructure from the ground upStrong executive presence with the ability to influence, challenge, and partner credibly with senior leaders, including VPs and DirectorsDemonstrated ability to drive decision-making using people data and organizational insights, including metrics related to attrition, engagement, headcount, and performanceBroad HRBP expertise across the employee lifecycle, including talent management, organizational design, performance management, compensation philosophy, employee relations, and workforce planningAbility to operate independently in ambiguous environments while balancing strategic thinking with hands-on executionStrong business acumen and a proactive, solutions-oriented mindset with a focus on scalability and long-term organizational healthExtra Credit ExperienceExperience supporting teams within high-growth startup environments and navigating rapid organizational scalingBackground in healthcare, healthtech, or highly regulated/compliance-driven industriesPrior people management experience, including mentoring or leading HR team membersWhy You’ll Love Working HereWe’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 equityFull health, dental, and vision coverageRetirement savings plan through 401(k)Flexible time offOpportunities for company-wide connection and eventsReady 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 InformationWork AuthorizationCandidates must be authorized to work in the United States without current or future employer sponsorship.Equal Employment OpportunityPivotal 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 AccommodationsPivotal 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 ChecksEmployment is contingent upon successful completion of applicable background checks, where permitted by law.At-Will EmploymentEmployment 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.What You’ll DoPartner closely with leadership and people managers to provide strategic HR guidance across organizational design, talent strategy, performance management, employee engagement, and team effectivenessBuild and scale people programs, processes, and infrastructure that support a rapidly growing organizationLead and evolve performance management initiatives, ensuring processes are scalable, effective, and aligned to company goals and cultureSupport organizational planning efforts including workforce planning, leveling, compensation philosophy, and change management initiativesPartner cross-functionally with leadership and teams across the business to improve employee experience, manager effectiveness, and organizational healthHelp navigate periods of rapid growth, restructuring, and organizational change with a thoughtful, business-minded approachDrive culture and engagement initiatives that strengthen collaboration, accountability, and employee retentionWho You Are7+ years of progressive HR experience, including at least 3+ years in a true HR Business Partner capacity supporting leaders and organizations at scaleExperience operating within high-growth, scaling environments such as Series A/B+ startups or similarly fast-paced companiesProven ability to build and implement people programs, processes, and infrastructure from the ground upStrong executive presence with the ability to influence, challenge, and partner credibly with senior leaders, including VPs and DirectorsDemonstrated ability to drive decision-making using people data and organizational insights, including metrics related to attrition, engagement, headcount, and performanceBroad HRBP expertise across the employee lifecycle, including talent management, organizational design, performance management, compensation philosophy, employee relations, and workforce planningAbility to operate independently in ambiguous environments while balancing strategic thinking with hands-on executionStrong business acumen and a proactive, solutions-oriented mindset with a focus on scalability and long-term organizational healthExtra Credit ExperienceExperience supporting teams within high-growth startup environments and navigating rapid organizational scalingBackground in healthcare, healthtech, or highly regulated/compliance-driven industriesPrior people management experience, including mentoring or leading HR team membersWhy You’ll Love Working HereWe’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 equityFull health, dental, and vision coverageRetirement savings plan through 401(k)Flexible time offOpportunities for company-wide connection and eventsReady 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 InformationWork AuthorizationCandidates must be authorized to work in the United States without current or future employer sponsorship.Equal Employment OpportunityPivotal 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 AccommodationsPivotal 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 ChecksEmployment is contingent upon successful completion of applicable background checks, where permitted by law.At-Will EmploymentEmployment 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.