Title: Executive Business Partner to the Executive Team

Location: Los Angeles, CA (hybrid)

Company Description

Healthcare reimbursement is broken - too complex, too opaque, and too often unfair to the providers delivering care and the patients receiving it.

Pivotal Health exists to fix that. We build technology that helps hospital-based providers get paid fairly for the care they provide, while protecting patients from surprise medical bills. Our platform guides providers through the highly complex No Surprises Act dispute process, turning what was once manual, risky, and inconsistent into a structured, data-driven workflow.

With a rapidly growing customer base, strong revenue momentum, and a mission rooted in fairness and transparency, Pivotal is helping modernize one of healthcare’s most critical—and overlooked—systems.

About the Role

We’re looking for a highly capable Executive Business Partner to support our executive team and help drive managerial excellence across the company.

This role goes beyond traditional administrative support. You’ll operate as a strategic partner to leadership, helping manage priorities, streamline operations, and ensure the executive team is focused on the highest-impact work.

You’ll sit at the center of leadership coordination: managing complex schedules, organizing leadership meetings, supporting key initiatives, and ensuring important decisions translate into action. The right person thrives in fast-moving environments, anticipates needs before they arise, and brings clarity and structure to busy executives and evolving priorities.

If you enjoy solving problems, keeping leaders organized, and playing a critical role behind the scenes of a growing company, this role offers meaningful ownership, visibility, and the opportunity to grow alongside the business.

Key Responsibilities

Executive Partnership & Calendar Strategy

• Manage complex executive calendars, ensuring leadership time is aligned with the company’s highest priorities.
• Anticipate scheduling conflicts and proactively optimize calendars to create focus and efficiency.
• Act as a gatekeeper for executive time while maintaining a high level of responsiveness and professionalism.

Leadership Operations

• Coordinate and support key leadership meetings, including executive team meetings, board preparation, and cross-functional reviews.
• Prepare agendas, organize materials, capture notes, and track follow-ups to ensure decisions translate into action.
• Help maintain alignment across leadership by ensuring communication and next steps are clear.

Cross-Functional Coordination

• Serve as a key coordination point between executives and teams across the organization.
• Help manage inbound requests, ensuring priorities are properly triaged and addressed.
• Assist in keeping cross-functional initiatives organized and moving forward.

Project & Initiative Support

• Provide operational support for strategic initiatives led by the executive team.
• Track progress, maintain documentation, and help ensure timelines and commitments stay on track.
• Step in to solve problems and remove operational friction where needed.

Executive Logistics

• Manage travel planning, expense reporting, and logistical coordination for executives.
• Support planning and execution of leadership offsites, company events, and team gatherings.
• Ensure executives are well-prepared for meetings, presentations, and key interactions.

Is This You?

• 8+ years of experience supporting senior executives in a fast-paced environment.
• Experience operating as an Executive Business Partner, Senior Executive Assistant, or Chief of Staff–adjacent role.
• Exceptional organizational skills with the ability to manage competing priorities and complex calendars.
• Highly proactive: you anticipate needs before they arise and take initiative to solve problems.
• Excellent written and verbal communication skills.
• Comfortable working in a startup or high-growth environment where priorities evolve quickly.
• High level of professionalism, discretion, and judgment when handling sensitive information.
• Strong attention to detail with a bias toward action and follow-through.
• Tech-savvy and comfortable working with modern productivity tools (Google Workspace, Slack, Notion, etc.).

Extra Credit Experience

• Experience supporting founders or C-level executives at a startup.
• Experience helping manage board meetings or investor communications.
• Background coordinating cross-functional initiatives or leadership projects.
• Experience planning executive offsites or company-wide events.
• Interest in growing into broader operations, strategy, or Chief of Staff roles over time.

#Perks

• Base comp $150k – $175k + equity
• Work closely with the executive team and gain visibility across the organization.
• Play a key role in helping a fast-growing company operate effectively.
• Exposure to strategic discussions and leadership decision-making as the company scales.
• Full medical, dental, and vision insurance coverage + 401k.
• Periodic in-person team gatherings and offsites, bringing teammates together to connect, collaborate, and celebrate.