Value-Based Care Operations

New

Skills

Compliance Customer success Regulatory Requirements Vendor Management

2 hours agoReport problemPearl Health is a company that empowers and enables primary care providers and care coordination teams by offering technology-driven solutions for value-based care. They focus on democratizing access to healthcare value through tools that stabilize cash flow, reward quality patient care, and streamline data insights. With the Pearl Platform, providers get access to data-driven patient insights and actionable suggestions to maintain patient health more effectively. Pearl Health collaborates with healthcare professionals to improve health outcomes, reduce costs, and enhance the patient experience through advanced data insights and technological platforms that support value-based care models such as ACO REACH.• Lead Pearl Health's efforts to ensure Medicare patients have appropriate benchmarks • Creating systems and strengthening client partnerships • Enable generation of savings against fair benchmarks while maintaining clinical integrity • Report directly to Chief Operating & Compliance Officer • Improve benchmark accuracy strategy for Traditional Medicare • Create scalable, compliant processes • Build programs for actionable insights to improve diagnosis accuracy • Partner with Customer Success team • Translate risk adjustment concepts into guidance for clinical teams • Work with internal teams on strategic prioritization and partner selection • Coordinate with vendors to enhance capabilities • Implement technology solutions for data aggregation• 7+ years of experience in healthcare operations • Significant focus on value-based care or risk adjustment initiatives • Proven track record of developing and scaling benchmark accuracy or risk adjustment programs • Experience engaging with providers and health system leaders on clinical documentation improvement • Deep understanding of regulatory and compliance requirements • Demonstrable success in Traditional Medicare value-based models• Annual discretionary bonus • Equity options

Job Type: Remote

Salary: Not Disclosed

Experience: Entry

Duration: 12 Months

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