Pearl Health

Drive strategic technical initiatives, coordinate cross-functional teams, and establish scalable processes to support growth. | Experience in technical program management, strong technical foundation, proficiency in agile methodologies, and excellent communication skills. | The Opportunity As a Senior Technical Program Manager, you will serve as the critical orchestrator for Pearl Health, driving complex initiatives that empower primary care providers to deliver better patient outcomes. You will own the end-to-end execution of strategic technical programs, bridging the gap between engineering, product, and clinical teams to ensure our technology delivers measurable business impact. By navigating ambiguity and making strategic trade-offs, you will not only ensure timely delivery but also establish scalable processes that support Pearl’s growth. This is a unique opportunity to use your technical fluency to optimize performance in value-based care models and solve some of the healthcare system's biggest challenges. 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 drive Pearl’s most strategic technical initiatives from conception to delivery, acting as the connective tissue between multiple engineering teams and business stakeholders to ensure execution excellence. Orchestrate Cross-Functional Delivery: Align engineering teams, product managers, data scientists, and clinical operations to ensure coordinated execution on complex projects. Drive Strategic Planning: Partner with engineering leadership to build realistic roadmaps that balance short-term business priorities with long-term technical health and capacity constraints. Build Scalable Processes: Design and implement sustainable program management frameworks and tooling that increase team efficiency and delivery predictability. Manage Risk and Dependencies: Proactively identify technical dependencies and program risks, developing mitigation strategies to maintain velocity and prevent blockers. Translate Technical Impact: Communicate program status and outcomes to senior leadership, effectively translating complex technical details into clear business impact. Empower Product Decisions: Provide Product Management with reliable delivery forecasts and visibility into technical constraints to enable informed roadmapping and customer commitments. Foster Engineering Culture: Coach teams on agile best practices and continuous improvement, helping to build a culture of transparency, accountability, and delivery excellence. What You’ll Bring We are looking for a leader with a deep technical foundation and exceptional program management discipline who thrives in fast-paced environments and can influence stakeholders without authority. Must-haves 4-7 years of experience in technical program management with a track record of delivering complex, multi-team programs in fast-paced technology environments. Strong technical foundation (CS degree or equivalent experience) with the ability to engage deeply in discussions regarding system architecture, API design, and data pipelines. Demonstrated proficiency with agile methodologies, dependency mapping, risk management, and the full software development lifecycle. Exceptional communication skills, with the ability to present to senior leadership and translate technical concepts for non-technical audiences. Strong analytical skills to define metrics, identify trends, and make data-driven decisions that improve program outcomes. Nice-to-haves Experience leading large-scale architectural migrations, such as monolith-to-microservices or cloud migrations. Background in healthcare technology, fintech, or highly regulated industries involving compliance requirements like HIPAA or SOC2. Familiarity with value-based care models, ACO programs, or healthcare data standards. Experience utilizing AI-enabled development tools to accelerate engineering velocity and planning. Experience working with distributed teams or managing programs across multiple time zones. This role might not be for you if: You prefer a highly structured environment where all problems are clearly defined before you begin work. You are looking for a role where you write production code daily, rather than focusing on system trade-offs and orchestration. You struggle to drive consensus and move projects forward without having direct managerial authority over the teams involved. 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: $160,000 - $210,000 per year. Additional Compensation: This role is eligible for a discretionary performance bonus and equity options. Benefits: We offer a competitive benefits package. You can learn 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. Engineering Manager Interview: A deeper-dive conversation with a leader. Panel Interview: A round of technical and non-technical interviews with teammates and cross-functional partners. Executive Interview: Final conversation(s) with 1-2 of our leaders.

Build and manage relationships with large healthcare organizations to expand enterprise partnerships, and communicate value-based care solutions effectively. | Minimum 7 years in enterprise sales or business development, experience with large physician groups or health systems, and excellent communication skills. | The Opportunity We are seeking a senior healthcare executive to grow our enterprise partnerships in a startup environment. The Director of Enterprise Partnerships will expand our provider network by converting qualified opportunities into participating providers across ACO REACH, MSSP, and other Pearl offerings, while owning relationships with organizations managing large primary care networks and educating executive leadership on value-based care and CMS models. This role requires the ability to source and close enterprise-level partnerships with large medical groups, hospitals, and health systems, communicate effectively with C-suite stakeholders, collaborate cross-functionally to exceed growth targets, and stay current on healthcare industry trends, with a strong passion for value-based care. 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 Build and execute a disciplined targeting methodology and prospect funnel, managing relationships with large physician groups, hospitals, and health systems to achieve performance targets. Articulate and position the enterprise product vision to large primary care and multispecialty groups, in close partnership with product, technology, client success, data science, marketing, and growth teams. Own and steward the enterprise sales process for organizations with 2,000+ lives, ensuring timely delivery of required analyses, deliverables, and key actions. Develop strong executive-level relationships and deliver an exceptional, trusted experience for provider partners. Establish and maintain a feedback loop from enterprise prospects, synthesizing market insights and prospect input to inform strategy and product evolution. Design and improve communication strategies, outreach methods, and engagement incentives to deepen provider relationships. Identify local and market-specific insights, travel as needed for live prospecting, and represent the company at networking events, conferences, and community forums. Meticulously track opportunities using CRM and database tools, and collaborate cross-functionally on pricing, proposals, deal terms, and contract negotiations. What You'll Bring A minimum of 7 years of experience in enterprise sales and/or business development in the enterprise/large physician group space. Experience owning an annual quota and utilizing sales CRM to manager and track. Excellent communication, interpersonal and presentation skills. You are constantly hunting for prospects, but also understand that the contracting cycle requires lots of touches with potential partners. A passion for improving and optimizing relationships, with enthusiasm for supporting and helping physicians. Bachelor’s degree or equivalent work experience. Experience in healthcare, value based care, and/or ACO programs, is a plus. Location / Remote Work This is a remote role supporting our Central market, and we prefer candidates based in Michigan, Indiana, Ohio, Kentucky, West Virginia, Virginia, South Carolina or North Carolina. While you’ll work in a fully remote capacity, proximity to the market will help you effectively contribute to the success of the Central region. 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. ❤️ Serious Impact, Big Heart: We go above and beyond to empower proactive, patient-centered care — and we celebrate every step forward. Humor and positivity fuel our creativity and strengthen relationships. 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: $150,000 - $185,000 Additional Compensation: Eligible for a discretionary performance bonus and equity options Benefits: Competitive benefits package (details available on our careers page) Final compensation will be determined by a variety of factors, including 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: Introductory call to discuss background and motivation Subject Matter Expert Interview: Deep-dive conversation with a core member of the team Panel Interview: Meetings with teammates and cross-functional partners Case Assignment / Presentation: Practical exercise solving a real-world challenge Executive Interview: Final conversation(s) with 1–2 members of our leadership team

Manage CMS program operations, oversee provider submissions, and ensure regulatory compliance within a high-pressure, data-intensive environment. | Extensive experience with CMS programs, provider submissions, RMS systems, and regulatory frameworks, with a proven track record of managing complex, multi-stakeholder projects. | The Opportunity You will step into a high-stakes, mission-critical role where you own the operational engine that allows Pearl Health to scale its impact on value-based care. By mastering the complexities of CMS provider submissions and ACO operations, you will directly safeguard the integrity of our networks and enable compliant operations and access to enhanced benefits for our members. This is an invitation to build operational resilience from the ground up, transitioning a vital function from a "heroic effort" to a sustainable, best-in-class program that scales with our growth. 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 As the Director of ACO Operations, you will be the primary architect and executor of our CMS Program Operations, ensuring every roster submission and regulatory requirement is met with precision. You will bridge the gap between tactical execution and strategic program ownership to ensure our ACOs remain compliant. • Lead the end-to-end Provider Submission process, serving as the accountable leader for roster accuracy and CMS deadlines during critical windows. • Manage the Roster Management System (RMS) workflow, overseeing the transition of provider data into a streamlined, automated submission process. • Provide strategic oversight and execution of Beneficiary Enhancement (BE) and Beneficiary Engagement Incentive (BEI) programs, ensuring all BE/BEI filings are accurate and compliant with CMS standards. • Direct the development of educational materials and training programs for internal Pearl employees to socialize complex ACO regulatory requirements. • Oversee mandatory CMS operational tasks, including CEHRT compliance, MSSP applications, and the coordination of beneficiary notification letters. • Responsible for CMS-related knowledge management and partnership with the Program Owner and SMEs to modernize our program operations, documenting processes to eliminate "sausage-making" during peak cycles. • Manage external resources and contractors during high-volume periods to maintain high quality-control standards under tight regulatory pressure. What You'll Bring We are looking for a seasoned operations leader who thrives in the "details of the data" and possesses the regulatory fluency to navigate the ever-evolving landscape of CMS programs. Must-haves • Orchestrate complex, multi-phase project lifecycles, ensuring seamless delivery within high-pressure environments and rigid deadlines. • Maintain a zero-margin-for-error standard while overseeing the ingestion and processing of high-volume, mission-critical data sets. • Proactively identify and resolve bottlenecks in data-intensive workflows to prevent downstream inaccuracies. • Deep technical knowledge of value-based care programs (eg. ACO REACH and/or MSSP) and regulations, with the ability to translate complex CMS guidelines into actionable project plans. • Accountability for regulatory deadlines, with a proven track record of meeting multi-stakeholder filing requirements without constant oversight. Nice-to-haves • Direct experience with CMS provider submissions, having successfully managed at least one full roster cycle for an ACO or similar value-based care entity. • Experience implementing or managing a Roster Management System (RMS) or similar tool used to automate provider data flows. • Background in CMS program management or policy, particularly experience with BEI programs and compliance frameworks. • Prior leadership in a high-growth startup environment, where you have successfully transitioned tactical "sprint" work into repeatable programmatic systems. This role might not be for you if: • You prefer a role focused exclusively on high-level strategy; this position requires a "player-coach" who will be deep in tactical execution, especially during the first year. • You thrive in highly predictable, steady-state environments; the submission cycle involves intense "sprint" periods with significant volume and shifting CMS priorities. • You prefer working in a siloed department; this role requires constant, proactive collaboration with Product, Client Success, and Quality teams to be successful. 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. ♥ Serious Impact, Big Heart: We go above and beyond to empower proactive, patient-centered care - and we celebrate every step forward. Humor and positivity fuel our creativity and strengthen relationships. 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: $150,000 - $195,000 per year • Additional Compensation: Eligible for a discretionary performance bonus and equity options • Benefits: We offer a competitive benefits package. More on our careers page. Final compensation will be determined by a variety of factors, including 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: Introductory call to discuss background and motivation • Subject Matter Expert Interview: Deep-dive conversation with a core member of the team • Panel Interview: Meetings with teammates and cross-functional partners • Case Assignment / Presentation: Practical exercise solving a real-world challenge • Executive Interview: Final conversation(s) with 1-2 members of our leadership team

Lead strategic enterprise partnerships and regional growth with full P&L ownership to expand Pearl Health's footprint in value-based care. | 10+ years in healthcare sales or commercial leadership with enterprise clients, experience negotiating large contracts, deep knowledge of value-based care, and proven regional or national growth leadership. | Who We Are. . . Pearl Health is powering the future of healthcare. We help primary care providers and organizations to deliver quality healthcare to the patients who need it most, when they need it most — and get rewarded for keeping patients healthy. Our technology, services, and financial tools enable better, more proactive care, decrease total cost of care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and public health experts (Stanford, Harvard, Mount Sinai), technologists (athenahealth, Amazon, Meta, Flatiron), healthcare innovators (Centivo, Aledade, Stellar, Arcadia), and experienced risk management professionals (CVS/Aetna, Humana, Oscar) who believe that primary care providers are the key to addressing our healthcare system’s biggest challenges. Since its founding in 2020, Pearl has expanded to partner with thousands of primary care providers in practices and organizations across 44 states. Our investors include Andreessen Horowitz, Viking Global Investors, AlleyCorp, Ulysses, and SV Angel. The role. . . As a Regional President you will be a key member of Pearl’s leadership team, responsible for driving the growth and expansion of our enterprise business across the U.S. healthcare ecosystem. Pearl is currently managing over 170,000 lives, with aggressive goals to triple that footprint over the next two years. You will lead strategic partnerships with enterprise clients—including large provider groups, hospitals and health systems, IPAs, CINs, and payers—to cement Pearl’s leadership in value-based care (VBC). This is a high-impact role collaborates cross-functionally across Product, Operations, and Marketing teams to scale Pearl’s reach and impact. To be successful in this role you will: • Spearhead the identification, acquisition, and expansion of strategic enterprise partnerships to drive Pearl’s rapid market expansion. • Own the full deal lifecycle - from pipeline development to contract execution - partnering with Finance and Operations to ensure timely and strategic closings that contribute directly to revenue growth. • Help develop and scale our regional P&Ls so we drive contributing margin for the business and bring an integrated approach to our growth and expansion including multiple lines of business, holistic client relationships, and comprehensive organization transformation support toward value based care. • Partner with Operations and R&D to surface key market trends that can inform performance priorities. • Serve as a senior external evangelist for Pearl, expanding high-value relationships with healthcare decision-makers, executives, and key stakeholders. • Lead a high-performing, cross-functional enterprise growth team; coach and mentor future leaders while fostering a culture of excellence and collaboration. • Partner with Operations and R&D teams to shape offerings that meet market demand and support the shift to value-based care across Traditional Medicare and Medicare Advantage. • Collaborate with Marketing to develop and execute campaigns that generate leads and elevate Pearl’s brand within the healthcare ecosystem. • Contribute meaningfully to Pearl’s broader strategy, business development, and operations, supporting alignment across clinical, operational, and financial goals. • Surface opportunities and support initiatives to drive down the cost of care while improving outcomes for at-risk populations. Who You Are. . . • 10+ years in healthcare sales, business development, or commercial leadership roles, including experience with enterprise-level clients. • Demonstrated success in negotiating and closing large commercial/value-based contracts and managing strategic partnerships across complex healthcare organizations. • Deep understanding of medical loss ratio (MLR) and value-based care dynamics, including risk-bearing models. • Extensive network of healthcare leaders across provider groups, health systems, and payers. • Experience leading regional or national growth teams, with direct P&L responsibility preferred. • Exceptional communicator and presenter with strong executive presence and influencing skills. • High-growth startup experience preferred; thrives in a fast-paced, evolving environment with limited structure. • Experience selling healthcare technology solutions (e.g., EMR/EHR, population health management, interoperability, analytics, AI/ML solutions, care coordination tools). • Familiarity with the healthcare IT ecosystem (EMR platforms like Epic, Cerner, athenahealth; interoperability networks; patient engagement tools; clinical workflow integration). • Hands-on leader who is energized by building, scaling, and transforming businesses. • Strong analytical, strategic thinking, and problem-solving capabilities. • Mission-aligned and ethics-driven; committed to improving healthcare for underserved populations. 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: $230,000 - $300,000 per year. • Additional Compensation: This role is eligible for a discretionary performance bonus and equity options. • Benefits: We offer a competitive benefits package. You can learn more on our benefits 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.