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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Implementation Manager - **Company:** Pivotal Health, Inc. - **Location:** New York, NY, United States (Remote available) - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Asana, BigQuery, File Transfer, SQL Databases, File Transfer Protocol (FTP), AI-powered Productivity Tools, Hubspot - **Published:** October 2, 2026 - **Apply:** https://startup.jobs/senior-implementation-manager-pivotal-health-10262509 ## About the Role * 4+ years of experience in implementation, onboarding, solutions delivery, or project management with direct ownership of client engagements * Experience working in a startup or similarly fast-paced environment, with comfort adapting to evolving processes and priorities * Hands-on experience with SFTP file transfers, implementation configuration, and initial data or file validation, with the judgment to involve technical specialists when needed * Demonstrated ability to independently manage multiple implementations, lead client calls, anticipate issues, and drive follow-through * Clear, professional communication and sound judgment when managing client expectations, coordinating stakeholders, and escalating risks * Enthusiasm for an individual contributor role on an early-stage team * Experience implementing technology or operational solutions for healthcare clients Extra Credit if you have: * Health system implementations involving IT, revenue cycle, and finance stakeholders * Experience working with provider organizations or revenue cycle partners * EHR integrations (e.g., Epic) and technical discussions with engineering teams * Familiarity with 835/837 claims data formats or healthcare reimbursement workflows * Experience improving implementation documentation, templates, or workflows, including contributing to automation initiatives * Proficiency with Asana, HubSpot, Metabase, BigQuery, SQL, or AI productivity tools, If you're excited by solving complex problems and making a real-world impact, we'd love to hear from you., Candidates must be authorized to work in the United States without current or future employer sponsorship. ## Description We're looking for a Senior Implementation Manager to own client implementations end to end: from the Sales handoff through kickoff, SFTP and claims data setup, configuration, launch readiness, go-live, and a clean handoff to Client Success. You'll be joining our implementation team within Client Success, reporting to our Implementation Lead, who owns the team's implementation strategy, standards, and priorities. The work runs on two tracks. Physician group implementations move fast and follow a repeatable process. Health system implementations move slower, involve more stakeholders across IT, revenue cycle, and finance, and are our highest-visibility launches. For complex health system implementations, you'll partner with the Implementation Lead to define the approach, then build the project plan and independently manage day-to-day delivery. This is a hands-on individual contributor role with ownership of client relationships, project execution, and implementation setup. You'll proactively resolve issues, bring recommendations when you need guidance, and keep clients and internal teams aligned. You'll also partner directly with Product and Engineering to automate the parts of implementation that are still manual today. If you're energized by a process you get to help shape and want ownership fast, this is a great seat. What You'll Do * Own implementations end-to-end: Independently manage clients from Sales handoff through go-live, including project plans, timelines, dependencies, and launch readiness. * Manage technical setup: Configure SFTP access and client settings, confirm claims file receipt, and perform initial file validation. Partner with Engineering on pipeline enablement, ingestion failures, and advanced troubleshooting. * Run diverse client workflows: Balance fast-paced physician group implementations with complex, multi-stakeholder health system rollouts. * Lead client communications: Run kickoffs, working sessions, and status updates independently as you ramp. Aim to lead routine client calls within your first 45 days, with support for complex executive discussions as needed. * Manage expectations and risks: Set clear time-to-value timelines early and address potential blockers before they impact launch schedules. * Prepare clients for launch and handoff: Coordinate training and readiness checks, and document configuration, data requirements, open items, and key contacts for a smooth transition to Client Success. * Coordinate with internal partners: Work with Product, Engineering, Sales, and Client Success to clarify requirements, resolve dependencies, and keep assigned implementations moving. * Improve the implementation process: Identify recurring issues, recommend practical improvements, update documentation, and implement agreed changes under the Implementation Lead's direction. ## Related Videos - [CountrPT: Startup Product Presentation](https://www.wearedevelopers.com/videos/1161-countrpt-startup-product-presentation) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Integrate your Cognitive Assistant with 3rd-party DBs and software](https://www.wearedevelopers.com/videos/249-integrate-your-cognitive-assistant-with-3rd-party-dbs-and-software) - [A Founder's Journey : From Startup Chaos to Purposeful Growth](https://www.wearedevelopers.com/videos/1926-a-founder-s-journey-from-startup-chaos-to-purposeful-growth) - [Developers don't need onboarding, do they? 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