pearlhealth - Program Manager, Preferred Networks
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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. • 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. • 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. • 🤝 Collaborate to Innovate: We believe the best solutions arise from intelligent teamwork. We trust the expertise of our teammates and pursue opportunities to learn and grow from each other. By embracing diverse perspectives and encouraging authenticity, we create and evangelize groundbreaking health solutions. • 🗣️ Trust Through Transparency: We prioritize transparency in all our interactions, ensuring that employees, patients, clinicians, and partners have access to the information they need to make informed decisions. Integrity is at the core of how we operate. • ❤️ Serious Impact, Big Heart: We go above and beyond to empower proactive, patient-centered care — and we celebrate every step forward. Humor and positivity fuel our creativity and strengthen relationships.
Responsibilities
• You will serve as the strategic operational and analytic engine for our Preferred Provider Network: helping manage performance and building the scalable systems, and tactics necessary to support our continued expansion. • 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 • 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.
Benefits
• The expected offer for this role includes the following components: • Base Salary Range: $90,000 - $130,000 per year • Additional Compensation: Eligible for a discretionary performance bonus and equity options • Benefits: We offer a competitive benefits package. More on our careers page https://www.pearlhealth.com/careers. • Final compensation will be determined by a variety of factors, including relevant skills, experience, labor market conditions, and location. • AGENCY SUBMISSIONS • We are not currently working with contingency search firms. If a resume is submitted to any Pearl Health employee by a third party without a valid written and signed search agreement, it will become the property of Pearl Health and no fee will be paid, irrespective of whether the candidate is hired. • THE INTERVIEW PROCESS • While steps may vary by role, you can typically expect: • Recruiter Screen: Introductory call to discuss background and motivation • Subject Matter Expert Interview: Deep-dive conversation with a core member of the team • Panel Interview: Meetings with teammates and cross-functional partners • Case Assignment / Presentation: Practical exercise solving a real-world challenge • Executive Interview: Final conversation(s) with 1–2 members of our leadership team
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