Pearl Health
Seattle, New York City, Boston, or Remote
Full time
Remote
Operations
At Pearl Health, you’ll help redefine how primary care providers succeed in value-based care; ensuring patients receive proactive, high-quality care while keeping healthcare costs sustainable. As Director of Operations, you’ll lead initiatives that translate data-driven insights into programs that directly improve outcomes for providers and patients. You’ll play a critical role in strengthening Pearl’s provider network, optimizing operational performance, and advancing our mission to make value-based care work at scale.
You’ll lead the operational strategy that powers Pearl’s value-based care success, connecting cross-functional teams, data, and execution to drive measurable impact on patient outcomes and provider performance.
Drive the roadmap for operational programs and partnerships that reduce unnecessary spend and utilization and improve care delivery across Pearl’s provider network.
Partner with Data Science, Product, and Customer Success to size and prioritize strategic opportunities that impact total cost of care.
Translate insights into scalable operational tactics that improve patient outcomes, decrease wasteful spending, and enhance provider experience.
Lead efforts to identify, investigate, and mitigate fraud, waste, and abuse (FWA) — ensuring our processes uphold integrity and quality across the network.
Develop and manage strategic vendor partnerships that advance Pearl’s total cost of care and utilization management objectives.
Partner with Product and Growth teams to transform provider feedback and market learnings into product enhancements and operational improvements.
Collaborate with Customer Success to design, roll out, and optimize provider incentive and engagement programs.
Champion provider education through clear communication materials, guides, and training sessions that support success in value-based care models.
You combine healthcare operational expertise with strategic systems thinking — equally comfortable diving into data, designing new programs, and leading teams through complex change.
Bachelor’s degree required; advanced degree (MHA, MBA, MPH, or related) preferred.
8+ years of experience in healthcare operations, value-based care, or health plan management.
5+ years of leadership experience managing cross-functional teams and high-impact initiatives.
Deep understanding of total cost of care, utilization management, and value-based care models.
Proven success translating analytical insights into operational strategy and measurable results.
Experience with Medicare and/or Medicaid programs, including CMS regulations and CMMI models.
Demonstrated experience managing vendors and external partnerships to drive performance.
Strong communication and stakeholder management skills across clinical, technical, and business teams.
Experience in healthcare technology, population health, or value-based enablement organizations.
Background working with fraud, waste, and abuse (FWA) prevention programs or risk mitigation processes.
Familiarity with analytics tools, provider performance dashboards, or data visualization platforms.
Experience developing provider-facing materials, training, or education initiatives.
You prefer a highly structured environment where priorities rarely shift.
You’re looking for a role focused on oversight rather than hands-on execution and innovation.
You’re uncomfortable operating in a fast-evolving organization where collaboration and adaptability are key to success.
🤝 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, from building products to fostering relationships, and is crucial to our ability to communicate openly and gain trust.
❤️ Serious Impact, Big Heart: We go above and beyond with our efforts to empower proactive, patient-centered care — and we celebrate every step forward. Humor and positivity fuel our creativity, strengthen relationships, and remind us to acknowledge the journey as much as the destination.
We are an Equal Opportunity Employer on a mission to improve lives. Our strength comes from the diverse backgrounds, experiences, and perspectives of our team. We welcome all candidates and are committed to a fair, inclusive hiring process free from discrimination.
The expected offer for this role includes the following components:
Base Salary Range: $150,000 - $200,000 per year.
Additional Compensation: This role is eligible for a discretionary performance bonus and equity options.
Benefits: We offer a competitive benefits package. You can learn more on our benefits page.
Final compensation for this role will be determined by a variety of factors, including a candidate's relevant skills, experience, labor market conditions, and location.
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.
While steps may vary by role, you can typically expect:
Recruiter Screen: An intro call to discuss your background and motivations.
Hiring Manager Interview: A deeper-dive conversation with your potential manager.
Panel Interview: A round of meetings with teammates and cross-functional partners.
Case Assignment/Presentation: A practical exercise inviting you to solve a real-world problem or relevant challenge.
Executive Interview: Final conversation(s) with 1-2 of our leaders.