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Program Manager, Preferred Networks - Remote

Posted Yesterday
Project Management
Full Time
USA
$90,000 - $130,000/year

Overview

As the Program Manager for our Preferred Networks, you will play a pivotal role in scaling the infrastructure needed to power our national, high-quality Preferred Provider Network (PPN). You will enable our preferred partners (non-primary care providers like post-acute care facilities, specialists, labs, etc.) to further reduce unnecessary healthcare costs and improve quality for our Medicare ACO populations.

In Short

  • Analyze complex claims data to identify high-impact PPN targets and provide data-driven recommendations for network optimization.
  • Help the team execute on key stages of the partnership lifecycle, from assisting with initial pitches to successfully executing contracts before annual CMS deadlines.
  • Initially serve as a secondary point of contact for our external relationships with the ability to grow and lead these relationships over time.
  • Design and deliver comprehensive quarterly dashboard reports and high-impact newsletter campaigns that keep our stakeholders informed and engaged.
  • Collaborate cross-functionally with our Analytics, Customer Success, Clinical Strategy, and Product teams to refine and define performance solutions and internal operations associated with the PPN.
  • Build and maintain robust tracking systems for leading and lagging success indicators to ensure our initiatives remain effective as we scale.
  • Master and integrate emerging AI tools and technologies to enhance team efficiency and drive innovative solutions in network management.

Requirements

  • 4+ years of professional experience within healthcare operations, Medicare ACOs, population health, or value-based care.
  • Advanced proficiency in Excel/Google Sheets and business intelligence tools, with a proven ability to synthesize information from disparate data sources.
  • Excellent organizational skills and attention to detail.
  • Demonstrated experience using data analysis to drive measurable operational outcomes.
  • Bachelor’s degree or equivalent professional work experience.

Benefits

  • Base Salary Range: $90,000 - $130,000 per year.
  • Eligible for a discretionary performance bonus and equity options.
  • We offer a competitive benefits package.
Pearl Health logo

Pearl Health

Pearl Health is a forward-thinking healthcare company founded in 2020, dedicated to empowering primary care providers and organizations to deliver high-quality healthcare to patients when they need it most. By leveraging advanced technology, services, and financial tools, Pearl Health aims to enhance proactive care, reduce overall healthcare costs, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. The company boasts a diverse team of experts from prestigious institutions and industries, and has rapidly expanded its partnerships with thousands of primary care providers across 44 states. With backing from notable investors, Pearl Health is committed to addressing significant challenges in the healthcare system and improving patient outcomes.

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