Director, Clinical Performance

Job not on LinkedIn

🔥 12 hours ago

🗽 New York, Massachusetts, +1 more states – Remote

🗽 New York – Remote 🍂 Massachusetts – Remote ☕ Washington – Remote

💵 $165k - $200k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Pearl Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $18M Series A on 2021-09

Healthcare • Healthcare Insurance • SaaS

Pearl Health is a company dedicated to transforming primary care through value-based models. Their mission is to democratize access to value in healthcare, emphasizing quality care that rewards providers for improving patient health outcomes. Pearl Health offers data-driven insights, technology solutions, and hands-on support to primary care providers, helping them improve patient outcomes, reduce costs, and enhance their practice operations. Through strategic partnerships and their innovative Pearl Platform, they empower care providers to focus on patient care while stabilizing finances and sharing in the savings generated from quality care.

📋 Description

• Own the clinical relationship for a portfolio of Pearl Health client ACOs • Analyze utilization patterns, quality measure gaps, risk adjustment and coding trends, and cost drivers • Identify root causes behind client performance trends using internal data sources • Serve as the primary clinical and population health subject matter expert for assigned clients • Partner with Markets and Customer Success teams on client strategy and account meetings • Manage concurrent client relationships and build client trust and credibility • Lead client-facing performance reviews and deep-dive sessions • Translate clinical, quality, and financial data into actionable recommendations • Foster adoption of recommendations and customize improvement plans • Develop and manage client action plans and workstreams • Organize internal stakeholders around client performance programs • Represent clinical and client perspectives in internal strategy discussions • Help shape analytics, performance programs, products, and playbooks • Develop business cases for new programs, partnerships, and investments • Coach clinical and administrative teams within client organizations • Lead workflow discovery and shape integration pathways for Pearl’s signals in client EHR workflows • Hold accountability for quality, cost of care, and risk adjustment outcomes across the client portfolio

🎯 Requirements

• MD, DO, or APP, board-certified with direct clinical practice experience • Primary-care-aligned specialties or adjacent chronic condition management specialties are a strong fit • Direct, hands-on experience with value-based care and quality management within a VBC contract setting • Working knowledge of Medicare ACO program mechanics, including benchmarking, risk adjustment, quality measure scoring, and shared savings • Working knowledge of EHR workflows and practice operations • Ability to translate EHR workflows into clear requirements for technical integration • Credibility to engage physicians and practice leadership as a clinical peer • Track record of building trust with physician and executive audiences • Ability to translate clinical nuance into business-relevant, actionable recommendations • Ability to build credibility and foster partnership in high-stakes client settings • Skilled at driving client engagement and follow-through • Comfortable managing a varied portfolio of concurrent client relationships • Experience partnering with account management, customer success, or market-facing teams • Ability to work hands-on with data and independently identify performance drivers • Strong project management skills • Direct experience with value-based care performance and quality metrics, including quality measure scoring, HCC coding/risk adjustment, and total cost of care • Ability to turn analysis into concrete next steps and drive completion with clients • Eligibility to work in the United States without restriction • Must not require visa sponsorship to continue working in the United States

🏖️ Benefits

• Discretionary performance bonus • Equity options • Competitive benefits package

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