Senior Associate, ACO Operations

Pearl Health

2d • $70,000 - $90,000

About The Position

We are looking for an ACO Operations Senior Associate 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 requires 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

• We are looking for a motivated, data-driven operator who is eager to dive into the technical nuances of value-based care and thrives in a collaborative, fast-paced environment.
• 2-3 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

• You will serve as the strategic operational and analytic engine for our ACO operations, helping to build scalable systems to ensure the seamless operations of our growing ACOs.
• Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs, including voluntary alignment, provider submission, CMS communications, and much more.
• Engage in the CMS submission process of information to contractual partners on behalf of our providers and ensure adherence to all ACO program-related requirements.
• Collaborate and manage touch-points with external stakeholders, including the federal government, national advocacy organizations, and other partners.
• Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees