Director, Clinical Performance

Pearl Health

2d•$165,000 - $200,000

About The Position

Pearl Health is seeking a clinical leader to own the clinical relationship for a portfolio of enterprise ACO clients and drive measurable performance improvement across its value-based care network. The Director serves as a clinical and population health subject matter expert and client-facing performance partner, combining clinical judgment, independent data analysis, and clinician-to-clinician credibility. In partnership with Markets and Customer Success teams, the Director translates performance data into trusted, actionable guidance and helps clients engage in performance improvement work. The role involves analyzing utilization, quality gaps, risk adjustment and coding trends, and cost drivers using internal data sources; leading client performance reviews and deep dives; and developing tailored action plans with client stakeholders. The Director also represents client and clinical perspectives in internal strategy discussions, coaches client teams, and leads workflow discovery to help integrate Pearl's signals into clients' EHR workflows. The position carries responsibility for the quality, cost of care, and risk adjustment outcomes of the assigned client portfolio.

Requirements

MD, DO, or APP; board-certified and with direct clinical practice experience.
Direct, hands-on experience with value-based care and quality management within a VBC contract setting, such as MSSP, ACO REACH, or Medicare Advantage.
Working knowledge of Medicare ACO program mechanics, including benchmarking, risk adjustment, quality measure scoring, and shared savings.
Working knowledge of EHR workflows and practice operations, including how care teams document, receive alerts, and close care gaps, and ability to translate them into technical integration requirements.
Ability to engage physicians and practice leaders as a clinical peer, grounded in real experience delivering care.
Track record of building trust with physician and executive audiences and translating clinical nuance into business-relevant, actionable recommendations.
Ability to build credibility and partnership in high-stakes client settings, including performance reviews, leadership meetings, and difficult conversations about underperformance.
Skill in driving client engagement and follow-through, including with clients who may be resistant to change.
Ability to manage a varied portfolio of concurrent client relationships while maintaining quality of attention.
Experience partnering closely with account management, customer success, or market-facing teams to present a unified front to clients.
Ability to work hands-on with data and independently identify what is driving a client's performance trend without relying on a dedicated analyst.
Strong project management instincts and ability to plan, prioritize, and manage workload across concurrent engagements and changing priorities.
Direct experience with value-based care performance and quality metrics, such as quality measure scoring, HCC coding and risk adjustment, and total cost of care.
Bias toward action and ability to turn analysis into concrete next steps and drive them to completion with clients.

Nice To Haves

Primary-care-aligned specialty, such as internal medicine, family medicine, or geriatric medicine.
Specialty in an adjacent chronic condition management field, such as cardiology or nephrology.

Responsibilities

Analyze client-level performance data, including utilization patterns, quality measure gaps, risk adjustment and coding trends, and cost drivers, to identify root causes of performance trends.
Use internal data sources independently, including claims, real-time utilization metrics, business intelligence dashboards, and compliant connected frontier LLMs; partner with analytics resources as needed.
Serve as the primary clinical and population health subject matter expert for an assigned portfolio of value-based care clients, partnering with physician, clinical, and administrative leadership.
Partner with Markets and Customer Success teams on client strategy, co-present in key meetings, and align clinical and commercial priorities.
Manage concurrent client relationships and build trust and credibility to sustain client engagement in performance improvement work.
Lead client-facing performance reviews and deep-dive sessions, translating clinical, quality, and financial data into actionable recommendations.
Foster client motivation and adoption of recommendations, tailoring plans to client needs and current state.
Develop, prioritize, and manage client action plans and workstreams; hold internal and client stakeholders accountable to timelines and outcomes.
Organize internal stakeholders around client performance engagements and programs.
Represent clinical and client perspectives in internal strategy discussions and help shape analytics, performance programs, product, and playbooks.
Develop business cases for programs, partnerships, and investments that support partner performance.
Coach clinical and administrative teams at client organizations to build their ability to sustain improvements and incorporate Pearl's insights into daily practice.
Lead workflow discovery to understand client EHR practices and determine where Pearl's signals can fit into care workflows.
With support from a technical resource, shape and drive integration pathways that bring Pearl's signals into EHR workflows.
Take responsibility for the quality, cost of care, and risk adjustment results achieved by the assigned client portfolio through Pearl's performance programs.