Director, Operations

The Opportunity

At Pearl Health, you’ll help redefine how primary care providers succeed in value-based care; ensuring patients receive proactive, high-quality care while keeping healthcare costs sustainable. As Director of Operations, you’ll lead initiatives that translate data-driven insights into programs that directly improve outcomes for providers and patients. You’ll play a critical role in strengthening Pearl’s provider network, optimizing operational performance, and advancing our mission to make value-based care work at scale.

What You’ll Do

You’ll lead the operational strategy that powers Pearl’s value-based care success, connecting cross-functional teams, data, and execution to drive measurable impact on patient outcomes and provider performance.

• Drive the roadmap for operational programs and partnerships that reduce unnecessary spend and utilization and improve care delivery across Pearl’s provider network.

• Partner with Data Science, Product, and Customer Success to size and prioritize strategic opportunities that impact total cost of care.

• Translate insights into scalable operational tactics that improve patient outcomes, decrease wasteful spending, and enhance provider experience.

• Lead efforts to identify, investigate, and mitigate fraud, waste, and abuse (FWA) — ensuring our processes uphold integrity and quality across the network.

• Develop and manage strategic vendor partnerships that advance Pearl’s total cost of care and utilization management objectives.

• Partner with Product and Growth teams to transform provider feedback and market learnings into product enhancements and operational improvements.

• Collaborate with Customer Success to design, roll out, and optimize provider incentive and engagement programs.

• Champion provider education through clear communication materials, guides, and training sessions that support success in value-based care models.
  

What You’ll Bring

You combine healthcare operational expertise with strategic systems thinking — equally comfortable diving into data, designing new programs, and leading teams through complex change.

Must-haves

• Bachelor’s degree required; advanced degree (MHA, MBA, MPH, or related) preferred.

• 8+ years of experience in healthcare operations, value-based care, or health plan management.

• 5+ years of leadership experience managing cross-functional teams and high-impact initiatives.

• Deep understanding of total cost of care, utilization management, and value-based care models.

• Proven success translating analytical insights into operational strategy and measurable results.

• Experience with Medicare and/or Medicaid programs, including CMS regulations and CMMI models.

• Demonstrated experience managing vendors and external partnerships to drive performance.

• Strong communication and stakeholder management skills across clinical, technical, and business teams.
  

Nice-to-haves

• Experience in healthcare technology, population health, or value-based enablement organizations.

• Background working with fraud, waste, and abuse (FWA) prevention programs or risk mitigation processes.

• Familiarity with analytics tools, provider performance dashboards, or data visualization platforms.

• Experience developing provider-facing materials, training, or education initiatives.
  

This role might not be for you if

• You prefer a highly structured environment where priorities rarely shift.

• You’re looking for a role focused on oversight rather than hands-on execution and innovation.

• You’re uncomfortable operating in a fast-evolving organization where collaboration and adaptability are key to success.

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, patie