Head of Security

Pivotal Health

$130K — $180K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of security experience focusing on both technical implementation and strategic program management.
  • Proficient in cloud security, infrastructure security, and application security fundamentals, enabling effective communication with engineering teams.
  • Successful track record in building or maturing a security program, preferably in an early-stage or high-growth company.
  • Hands-on experience with compliance frameworks such as SOC 2 and HIPAA, including control design and audit preparation.
  • Effective communicator skilled at representing security topics to customers and stakeholders.
  • Collaborative influencer capable of earning trust across various teams while building consensus.
  • Comfortable with ambiguity and experienced in creating systems and strategies from the ground up.
  • Up-to-date knowledge of the current security landscape, tooling, and best practices.

Responsibilities

  • Build and own the company's security program, establishing strategy and policies that define the security posture.
  • Partner with engineering teams to integrate security into the design and deployment processes without hindering progress.
  • Lead compliance efforts and ensure regulatory readiness, including ownership of audits and frameworks like SOC 2 and HIPAA.
  • Monitor the threat landscape to proactively adjust and enhance security measures based on emerging threats.
  • Interface with customers and external stakeholders to assure them of security measures and response capabilities.
  • Promote a culture of security awareness and compliance across all organizational functions and departments.
  • Develop guidelines and best practices for the use of emerging technologies, including AI and LLMs, in a secure manner.

Benefits

  • Competitive compensation with equity incentives.
  • Comprehensive health, dental, and vision coverage for employees.
  • Retirement savings plan options via a 401(k) plan.
  • Flexible time-off policies to support work-life balance.
  • Opportunities for company-wide engagement and team events.
Full Job Description
About the role

We're hiring Pivotal's Head of Security, a senior leader who will own the company's security program from the ground up. This is a rare opportunity to define what security looks like at a fast-growing, AI-native healthcare technology company handling sensitive provider data and complex financial workflows.

This role sits at the intersection of strategy, engineering, compliance, and customer trust. You'll work closely with key stakeholders across the organization to embed security across the organization. Not just as a technical function, but as a core part of how Pivotal builds, operates, and earns the confidence of the providers and partners it serves.

You'll bring enough technical depth to engage credibly with our engineering teams, and enough breadth to set organizational strategy, navigate the regulatory landscape, and represent Pivotal's security posture to customers, auditors, and key stakeholders. If you're energized by building something meaningful from scratch and want your work to matter beyond a checklist, this is the role for you.

What you'll do
  • Build and own Pivotal's security program

Establish the strategy, policies, processes, and roadmap that define Pivotal's security posture. Identify the company's most critical assets, prioritize risk accordingly, and build a program that scales alongside a fast-growing platform and team.
  • Partner with engineering to embed security into the platform

Work closely with engineering and infrastructure teams to ensure security is built into how we design, develop, and deploy - from cloud architecture and CI/CD pipelines to data access controls and third-party integrations. You'll advocate for secure-by-design practices without slowing the team down.
  • Lead compliance and regulatory readiness

Own Pivotal's approach to relevant compliance frameworks, including SOC 2 and HIPAA. Translate regulatory requirements into actionable engineering and operational controls, lead audit preparation, and serve as the primary point of contact during security reviews.
  • Stay ahead of the threat landscape

Keep a close eye on the evolving security environment - emerging threats, new attack vectors, regulatory changes, and industry best practices. Bring that awareness into how Pivotal prioritizes and evolves its defenses over time.
  • Interface with customers and external stakeholders

Represent Pivotal's security program directly to customers, partners, and prospects. Answer security questionnaires, lead trust reviews, and give customers confidence that their data - and their providers' data - is in safe hands.
  • Drive security awareness across the organization

Champion a security-conscious culture companywide. Work with teams outside of engineering - including finance, operations, and people - to ensure security practices extend beyond the codebase and into how the whole organization operates.
  • Develop guidelines for emerging technologies

As an AI-native company, Pivotal is actively building with and around LLMs and AI tooling. Help define the guardrails for responsible, secure use of these technologies - both in our product and in our internal workflows.

Who you are
  • 8+ years of experience in security, with meaningful exposure to both technical implementation and program-level strategy
  • Strong working knowledge of cloud security, infrastructure security, and application security fundamentals, enough to engage credibly with engineering teams and evaluate tradeoffs
  • Experience building or significantly maturing a security program, ideally at an early-stage or high-growth company
  • Hands-on experience with compliance frameworks (SOC 2, HIPAA, or similar) including control design, audit preparation, and ongoing management
  • Comfortable representing security externally to customers, auditors, and partners with the communication skills to make complex topics accessible
  • A collaborator and influencer, not just a gatekeeper: you know how to bring stakeholders along and build trust across functions
  • Comfortable operating in ambiguity and building from scratch: you're energized by greenfield work, not slowed down by it
  • Up to date on the current threat landscape, security tooling, and best practices: you stay informed and bring that knowledge into your work
Extra credit if you have
  • Experience in HealthTech, FinTech, or other regulated industries handling sensitive data
  • Background working with financial systems, payments infrastructure, or data-intensive platforms
  • Familiarity with AI/LLM security considerations and responsible AI deployment practices
  • Experience managing or growing a security team


Why You'll Love Working Here

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.

Benefits Include:
  • 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

Ready 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 Information

Work Authorization

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

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