Manager, Quality Operations
The Opportunity
We are looking for a Quality Operations Manager to join our ACO Strategy and Operations team as a subject matter expert and operator of 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 desire to implement 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 Quality Performance initiatives, helping to manage performance and building scalable systems to support our continued improvement.
• Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs with an emphasis on quality performance and management.
• Support the execution of our quality measurement and reporting program on behalf of payer and provider partners.
• Collaborate and manage touch-points with external stakeholders, including quality partners, national advocacy organizations, and other partners.
• Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.
What You’ll Bring
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.
• 5+ years of experience in healthcare operations roles and/or excited and eager to learn more about Medicare ACO operations with a proven record of success.
• Understanding of the healthcare industry, with an emphasis on Medicare programs (eg. ACO REACH, MSSP, Medicare Advantage).
• Highly analytical (strong previous utilization of spreadsheets) and passion for data-driven problem-solving with experience in interpreting clinical quality data analytics and outcomes measurements to drive change.
• Exceptional attention to detail, with the ability to organize and operationalize projects. Ownership and accountable mentality.
• Excellent communication and presentation skills, with the ability to clearly and effectively communicate complex ideas to diverse audiences.
• Bachelor’s degree or equivalent work experience.
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: $90,000 - $130,000 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:
• 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.
Apply tot his job
Apply To this Job
We are looking for a Quality Operations Manager to join our ACO Strategy and Operations team as a subject matter expert and operator of 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 desire to implement 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 Quality Performance initiatives, helping to manage performance and building scalable systems to support our continued improvement.
• Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs with an emphasis on quality performance and management.
• Support the execution of our quality measurement and reporting program on behalf of payer and provider partners.
• Collaborate and manage touch-points with external stakeholders, including quality partners, national advocacy organizations, and other partners.
• Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.
What You’ll Bring
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.
• 5+ years of experience in healthcare operations roles and/or excited and eager to learn more about Medicare ACO operations with a proven record of success.
• Understanding of the healthcare industry, with an emphasis on Medicare programs (eg. ACO REACH, MSSP, Medicare Advantage).
• Highly analytical (strong previous utilization of spreadsheets) and passion for data-driven problem-solving with experience in interpreting clinical quality data analytics and outcomes measurements to drive change.
• Exceptional attention to detail, with the ability to organize and operationalize projects. Ownership and accountable mentality.
• Excellent communication and presentation skills, with the ability to clearly and effectively communicate complex ideas to diverse audiences.
• Bachelor’s degree or equivalent work experience.
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: $90,000 - $130,000 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:
• 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.
Apply tot his job
Apply To this Job