Legal and Compliance Operations Manager

Pearl Health

Pearl Health

Legal, Operations
Boston, MA, USA · New York, NY, USA · Remote
USD 100k-150k / year + Equity
Posted on Apr 2, 2026

Location

Seattle, New York City, Boston, or Remote

Employment Type

Full time

Location Type

Remote

Department

Legal

The Opportunity

The Legal and Compliance Operations Manager will serve as the operational backbone of Pearl Health's Legal and Compliance functions. This position will manage the end-to-end workflow of legal requests, contract administration, and compliance tracking while supporting multiple cross-functional teams. The ideal candidate will combine strong organizational skills with legal/compliance knowledge, technology proficiency, and the ability to manage complex workflows across multiple systems.

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

Contract Management & AI Operations

  • Create and maintain contract lifecycle management (CLM) system AI Playbooks, including active training of AI models to learn Pearl's contracting approach and processes

  • Perform first-pass of contract redlines based on counterparty feedback

  • Convert counterparty feedback into proposed redlines

  • Replicate contract edits across affiliate contracts

  • Negotiate certain contract terms within established guardrails (e.g., NDAs)

  • Maintain databases of key contractual terms

Legal Operations & Matter Management

  • Serve as intake manager and matter tracker

  • Create and maintain Legal and Compliance Dashboard

  • Track and manage vendor contract workflows

  • Set up and maintain CLM workflows for various contract types

  • Organize and maintain files

  • Collaborate with technical team to deploy internal legal/compliance ai agent

Compliance Program Support

  • Coordinate internal compliance training programs and maintain training repository

  • Track external compliance training completion for ACO participants

  • Manage overall compliance training workflows and documentation

  • Manage PHI intake processes and coordinate dissemination with InfoSec team

  • Conduct BAA (Business Associate Agreement) and data rights assessments

  • Track and assist with compliance-related audit responses

  • Support ACO governing body meetings

Corporate & Administrative

  • Support creation of new legal entities and manage state registrations

  • Manage Carta platform for equity administration

Cross-functional Support

  • Support Growth team with contract execution during sales seasons

  • Coordinate with Finance on entity management and corporate governance

  • Partner with Tech Ops on vendor contract workflows

  • Collaborate with InfoSec on data privacy and security compliance

What You’ll Bring

  • Minimum of 4 years of experience in legal operations, contract administration, or compliance coordination

  • Strong proficiency with contract management systems and AI enabled workflows, particularly in Ironclad

  • Excellent organizational skills with ability to manage multiple concurrent priorities

  • Strong attention to detail and commitment to accuracy in legal documentation

  • Comfortable working with technology platforms and learning new systems quickly

  • Bachelor's degree required

Preferred Qualifications

  • Experience in healthcare compliance, particularly HIPAA/PHI handling

  • Familiarity with ACO (Accountable Care Organization) operations or value-based care

  • Background in AI playbook creation or contract automation

  • Knowledge of corporate governance and entity management

  • Experience supporting fast-paced growth teams

  • Paralegal experience in healthcare, corporate, or contract law

Our Values

🤝 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.

What We Offer

The expected offer for this role includes the following components:

  • Base Salary Range: $100,000 - $150,000 per year.

  • Additional Compensation: This role is eligible for a discretionary performance bonus and equity options.

  • Benefits: We offer a competitive benefits package. More on our careers 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.

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:

  1. Recruiter Screen: An intro call to discuss your background and motivations.

  2. First Round Interview: A deeper-dive conversation with your potential manager.

  3. Panel Interview: A round of meetings with teammates and cross-functional partners.

  4. Executive Interview: Final conversation(s) with 1-2 of our company leaders.