Technical Accounting Manager

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. 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 ROLE Reporting to our Controller, we're looking for a Technical Accounting Manager to strengthen and scale Pivotal's technical accounting function. This is a hands-on role for someone who enjoys solving complex accounting challenges, thrives on precision, and takes pride in building well-controlled financial processes. You'll own key areas of our month-end close, help prepare the company for its financial audit, and ensure our accounting practices scale alongside the business. You'll partner closely with our accounting team, providing technical accounting guidance while helping build the processes, documentation, and controls that create a best-in-class finance organization. WHAT YOU’LL DO - Own Technical Accounting & Financial Reporting: Take ownership of Pivotal's most complex accounting areas, including stock-based compensation, equity accounting, lease accounting, and other technical accounting matters. Research accounting guidance, prepare supporti