Manager, Quality Operations
About The Position
We are looking for a Quality Operations Manager to join our ACO Strategy and Operations team as a subject matter expert and operator of our Medicare ACO programs. This candidate will work cross-functionally with our Customer Success, Product, Performance Operations, Clinical Strategy, and Data Science teams to drive the operational excellence of our ACOs on behalf of our provider partners. This role demands a strategic thinker with the desire to implement initiatives across our growing value-based care lines of business. Who We Are Pearl Health is dedicated to empowering primary care providers, health systems, and physician-led networks to succeed in the shift to value-based care. Our platform delivers the technology, financial tools, and expert services that enable practices to provide more proactive, effective care to their Medicare patients, ultimately lowering costs and improving health outcomes. Founded in 2020, we are a team of healthcare and technology innovators backed by premier investors like Andreessen Horowitz, Viking Global Investors, and AlleyCorp. We partner with thousands of providers across 44 states to build a more sustainable future for American healthcare.
Requirements
- 5+ years of experience in healthcare operations roles and/or excited and eager to learn more about Medicare ACO operations with a proven record of success.
- Understanding of the healthcare industry, with an emphasis on Medicare programs (eg. ACO REACH, MSSP, Medicare Advantage).
- Highly analytical (strong previous utilization of spreadsheets) and passion for data-driven problem-solving with experience in interpreting clinical quality data analytics and outcomes measurements to drive change.
- Exceptional attention to detail, with the ability to organize and operationalize projects. Ownership and accountable mentality.
- Excellent communication and presentation skills, with the ability to clearly and effectively communicate complex ideas to diverse audiences.
- Bachelor’s degree or equivalent work experience.
Responsibilities
- Serve as the strategic operational and analytic engine for our Quality Performance initiatives, helping to manage performance and building scalable systems to support our continued improvement.
- Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs with an emphasis on quality performance and management.
- Support the execution of our quality measurement and reporting program on behalf of payer and provider partners.
- Collaborate and manage touch-points with external stakeholders, including quality partners, national advocacy organizations, and other partners.
- Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.
Benefits
- This role is eligible for a discretionary performance bonus and equity options.
- We offer a competitive benefits package.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
11-50 employees
