Manager, ACO Operations

THE OPPORTUNITY

We are looking for an ACO Operations Manager to join our ACO Strategy and Operations team as a subject matter expert and strategic advisor on 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 ability to independently evaluate complex operational challenges and implement high-impact 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.

WHAT YOU'LL DO

You will serve as the strategic operational and analytic engine for our ACO operations, exercising independent judgment on matters affecting ACO performance, regulatory compliance, and provider success. You will design and implement scalable systems and operational strategies for our growing ACOs.

- Lead cross-functional initiatives to optimize the strategic and operational performance of Pearl Health’s Medicare ACOs, including developing alignment strategies, managing provider enrollment decisions, and directing CMS communications, recommending process improvements and policy changes.

- Direct and oversee the CMS submission process, interpreting regulatory requirements and en...