Program Manager, Preferred Networks

Pearl Health

4d•$90,000 - $130,000

About The Position

As the Program Manager for our Preferred Networks, you will play a pivotal role in scaling the infrastructure needed to power our national, high-quality Preferred Provider Network (PPN). You will enable our preferred partners (non-primary care providers like post-acute care facilities, specialists, labs, etc.) to further reduce unnecessary healthcare costs and improve quality for our Medicare ACO populations. In this role, you will lead the day-to-day program operations and analytics of our PPN, transforming complex claims data into actionable insights and strategic growth opportunities. This is a unique chance to join a high-growth, performant business unit where your project management skillset, analytical rigor and operational ownership will directly contribute to better patient outcomes and a more sustainable healthcare system. 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

4+ years of professional experience within healthcare operations, Medicare ACOs, population health, or value-based care.
Advanced proficiency in Excel/Google Sheets and business intelligence tools, with a proven ability to synthesize information from disparate data sources.
Excellent organizational skills and attention to detail.
Demonstrated experience using data analysis to drive measurable operational outcomes.
Bachelor’s degree or equivalent professional work experience.

Nice To Haves

Experience in high-growth startup environments where you have successfully navigated ambiguity and evolving priorities.
Strong cross-functional communication skills, with a track record of effectively engaging with stakeholders at various levels of seniority.
A systems-thinking mindset and a passion for solving complex, multi-layered problems.
A deep curiosity for learning the intricate details of various Medicare programs and regulatory frameworks.

Responsibilities

Analyze complex claims data to identify high-impact PPN targets and provide data-driven recommendations for network optimization.
Help the team execute on key stages of the partnership lifecycle, from assisting with initial pitches to successfully executing contracts before annual CMS deadlines.
Initially serve as a secondary point of contact for our external relationships with the ability to grow and lead these relationships over time
Design and deliver comprehensive quarterly dashboard reports and high-impact newsletter campaigns that keep our stakeholders informed and engaged.
Collaborate cross-functionally with our Analytics, Customer Success, Clinical Strategy, and Product teams to refine and define performance solutions and internal operations associated with the PPN.
Build and maintain robust tracking systems for leading and lagging success indicators to ensure our initiatives remain effective as we scale.
Master and integrate emerging AI tools and technologies to enhance team efficiency and drive innovative solutions in network management.