Job Description

Who we are…

Pearl Health is restoring the independence and joy of practicing medicine for doctors in America. Our healthcare system has burdened our doctors with too much process, while removing them from what they do best: caring for those we love most. We are a team of physicians (Groups), technologists (Athena, Hudson River Trading) and health plan leaders (Oscar, Clover, Centivo) who believe that primary care providers (PCPs) are the key to America’s future health. Our investors include AlleyCorp, which founded companies like MongoDB (NASDAQ: MDB), Business Insider, Gilt Groupe, Zola, Nomad Health, and more.

We are launching Pearl Health to help PCPs who are overwhelmed by the demands of an aging population and the unpredictable business model inherent to Traditional Medicare. Over time, this solution will empower PCPs to provide better care to their entire patient population. We believe there is a need to bring humanism back to healthcare by giving physicians the ability to better allocate their time with patients, increasing their autonomy, and creating incentives that are aligned with achieving better outcomes through clinical decision-making powered by actionable intelligence.The Center for Medicare and Medicaid (CMS) is launching a new value-based care program to disrupt Traditional Medicare, and we believe that this represents an opportunity to achieve the meaningful change we envision.

What we hope you can do…

We are seeking a sharp Market Success Manager, experienced in engaging with physician practices in a value-based care context and eager to help our emerging network of providers ready for the 2022 Performance Year of the Direct Contracting model. The Market Success Manager will be responsible for engaging with signed practice partners across a defined set of markets and enabling them to succeed in the DC model. Specifically, this will include: onboarding practices to Pearl, including familiarizing them with the details of their responsibilities and the processes associated with helping their beneficiaries access model benefits; helping our practice partners achieve voluntary alignment of their eligible beneficiaries in accordance with the DC model provisions; and ensuring smooth payment onboarding in partnership with our Product and Network Operations teams.

As you come up to speed, you will own the development of relationships and performance of Pearl’s Primary Care Physicians across your markets, guiding them to achieve the behavior and operational changes required to generate results in a value-based care environment. Over time, you will also engage Preferred Providers (contracted specialists, facilities and suppliers) in your market. The Market Success Manager will be responsible for delivery of superior practice performance across all assigned markets.

This position requires the ability to build and effectively maintain relationships with practice leadership and key clinical influencers actively involved in practice transformation. You will develop strategies based on performance analysis of practices developed by Pearl’s Data Science and Actuarial team and the market-specific insights you will generate over time. You will design actionable practice transformation plans and implement appropriate performance improvement initiatives to assist the practice in achieving performance goals.

You will inform our Product, Data Science and Network Operations teams of local insights and surface priorities from the practices for which you are responsible. Your commitment to delivering better outcomes for patients and rewards for Pearl’s practice partners will be contagious in the regions that you serve. A familiarity, passion, and willingness to create unprecedented possibilities offered by value-based care programs would make you an ideal candidate.

While this will be a remote position, you will be assigned to a set of regionally-concentrated markets and in-person engagement with provider practices will be critical.

What a Market Success Manager means to us…

• Work with Pearl leadership to develop a strategic roadmap that aligns performance frameworks with short and long-term objectives for product, incorporating market trends, provider expectations and business priorities.
• Analyze root cause data and develop remediation plans for provider performance across assigned markets, deploying those plans in a high-touch manner where appropriate.
• Partner with Finance, Growth, Product, Data Science and Actuarial teams to align on performance roadmap.
• Demonstrate aptitude for relationship building and creating an exceptional experience for our providers..
• Oversee education and deployment of technology tools supporting practice transformation, and integration of technology tools into practice workflows across assigned markets.
• Use data to identify cost drivers and work with Pearl partners and Preferred Providers to develop an optimal referral strategy, contributing to practice performance.
• Work across the organization to ensure successful implementation of critical projects on behalf of your Pearl practice partners.

Who you are…

• Bachelor’s degree or equivalent work experience
• 3-6 years of experience in clinical transformation, improving clinical quality, network contracting and development, or other relevant provider practice-facing field. Experience at an ACO or PCMH is a plus.
• Experience in interpreting and utilizing clinical data analytics, outcomes measurements, and employing that data to drive change
• Experience working with and collaborating successfully with senior level leadership
• Demonstrated experience implementing clinical practice transformation initiatives designed to help provider groups achieve delivery transformation goals
• Experience preparing and presenting information to clinical and executive level leadership
• Willingness to travel for face to face meetings (contingent upon local COVID travel policies)
• A passion for improving and optimizing relationships
• Excited about helping physicians

Our Values

We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people’s lives. Our definition of diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. We believe all of our colleague’s points of view are integral to our success, and that inclusion is everyone’s responsibility and a cause of beautiful things.

We welcome candidates from all backgrounds and are commited to a fair hiring process free from discrimination and focused around problem solving, improvement, and mutual empowerment.

Covid-19 

We are building in-person teams at our NYC headquarters but are excited to connect with anyone passionate about our mission regardless of their location.  While the world is in lockdown, we’re all working remotely.  We are not expecting to open the office before late 2021 and expect a part of our workforce to be remote after the pandemic ends.

How to Apply

Job Categories: Equal Opportunities. Job Types: Full-Time. Job Tags: ACO, healthcare, and Value-Based Care. Salaries: 100,000 and above.

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