It Support Engineer Jobs in Virginia (NOW HIRING)

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.

We're looking for an IT Support Specialist to help lead IT as we plan to relocate one of our office locations and continue to scale. You'll own End-User & SaaS Support, Networking & Infrastructure, and will work cross-functionally with all departments, and play a critical role in shaping IT Support. This role reports directly to our Director of IT.

• Provide day-to-day IT support for Google Workspace and Microsoft (PC/Mac) environments
• Administer and troubleshoot core SaaS applications; manage user access and licensing
• Troubleshoot hardware/software issues across Windows and Mac platforms
• Manage user lifecycle: onboarding, offboarding, and account provisioning/deprovisioning
• Deliver in-office, hands-on IT support and remote support for distributed employees
• Manage incidents through full lifecycle: triage, troubleshooting, resolution, and documentation

• Support and troubleshoot office networking (wired and wireless connectivity)
• Maintain core IT infrastructure and endpoint hardware
• Video Conferencing & AV – Support Zoom, Google Meet, and Microsoft Teams for meetings and collaboration
• Provide in-office AV support, including conference room setup and troubleshooting

• Lead and coordinate IT projects from planning through completion
• Manage timelines, priorities, and stakeholder communication across initiatives

• Strong foundational IT skills across Google Workspace and Microsoft (PC/Mac) administration
• Working knowledge of networking fundamentals
• Experience administering SaaS platforms
• Strong project management skills
• Comfortable supporting video conferencing (Zoom/Google Meet/Teams) and in-office AV
• Fast learner, able to make quick decisions and keep pace at a fast-moving tech company

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.

• 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

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.

Candidates must be authorized to work in the United States without current or future employer sponsorship.

Pivotal 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.

Pivotal 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.

Employment is contingent upon successful completion of applicable background checks, where permitted by law.

Employment 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.