Who we are…

Pearl Health is restoring the independence and joy of practicing medicine for doctors in the United States. Our healthcare system has burdened our doctors with too much process, while removing them from what they do best: caring for those we love most. We launched Pearl Health because we believe primary care providers, armed with the proper tools and resources, can have an outsized impact in achieving high-quality, affordable healthcare. We foresee a shift to an increasingly value-based future where physicians and provider groups will participate in the value they create for the healthcare system and will increasingly require proper tooling, information systems, capital support, and technology to succeed in these models.

We are a team of physicians (Groups), practice-enablement experts (VillageMD, Steward, Stellar), technologists (athenahealth, TrialSpark, Flatiron Health) and health plan leaders (Oscar, Clover, Centivo) who believe that primary care providers (PCPs) are the key to America’s future health.  Today, we support over 800 providers in value-based Medicare models, managing over $700M of Medicare benchmark risk in partnership with the physicians of the Pearl Network. To date, we have raised ~$100M to deliver on the next chapter of technology-enabled value-based care. Our investors include Andreessen Horowitz, AlleyCorp, and SVAngels.

What we hope you can do…

We are seeking an exceptional healthcare executive who is eager to help us build our second line of business. Your core focus will be driving the expansion of our value-based primary care offering to Medicare Advantage patients by helping design and execute our strategy to establish value-based partnerships with Medicare Advantage plans, thereby consolidating our offering to providers across Medicare.

You will work collaboratively across our Product, Growth, and Operational teams to help us land 1-3 key partnerships for performance year 2024, expanding Pearl into a new line of business alongside our traditional Medicare book. Post-deal execution, we are seeking someone who can manage ongoing critical relationships with key leaders at our MA plan partners, and inform our launch strategy (and ongoing iterations), ensuring our offerings meet the necessary requirements for success. We are looking for someone who has a strong understanding and vision for how Pearl and our provider partners can succeed in value-based Medicare Advantage.

This position requires strategic thinking, project design, organizational development, understanding of actuarial and healthcare economics, and entrepreneurship. You should be eminently comfortable with the Medicare Advantage landscape, go-to-market concepts and playbooks, expansion of a book of business, and strategic thinking and collaboration with relevant teams to facilitate good decision making in a lean operating environment.  We expect a substantial aspect of this leadership position will involve leveraging a strong existing network to open doors and an ability to forge relationships with the most senior players in Medicare Advantage.

What a General Manager, Medicare Advantage means to us…

  • Play a key role in developing Pearl’s go-to-market strategy, value proposition, and pitch for MA Plans
  • Leverage existing rolodex to build a strong payor pipeline
  • Articulate the vision for extending Pearl’s offering into a new line of business, in partnership with R&D, Data Science, and Growth.
  • Build, manage, and execute against a prioritized payor prospect funnel, leveraging preexisting relationships with key targets to achieve growth goals
  • Facilitate and contribute to a feedback loop based on learnings from payor targets, based on direct prospect reactions, synthesized insights, and other critical data points
  • Serve as steward of sales process for payors, ensuring that key actions, deliverables, and analysis are delivered on a timely basis to achieve enterprise-focused sales objectives
  • Demonstrate aptitude for relationship building and creating an exceptional experience for our providers.
  • Design and improve the communication modules, outreach mechanisms, and rewards that further engagement with payor partners
  • Identify local and market-specific insights; willingness to travel to assigned geographies for live prospecting
  • Attend networking events, community events and conferences to grow relationships
  • Work across the organization productively, to ensure successful implementation of this critical project

Who you are…

  • 10+ years of experience in network contracting and development or other relevant payor leadership-facing field.  Experience with ACOs is a plus.
  • Excellent communication, interpersonal and presentation skills.
  • You are relentless, but patient.  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.
  • Excited about helping physicians benefit from the value they bring to the healthcare system.
  • Willingness to travel for internal company meetings and prospect/customer site visits, as needed.
  • Bachelor’s degree or equivalent work experience.

Location / Remote Work

We are a remote-first company, with concentrations of team members at our NYC headquarters and in the Boston area. This role will require travel.

Our Values

We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people’s lives. Our definition of diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. We believe all of our colleague’s points of view are integral to our success, and that inclusion is everyone’s responsibility and a cause of beautiful things.

We welcome candidates from all backgrounds and are committed to a fair hiring process free from discrimination and focused around problem solving, improvement, and mutual empowerment.

Compensation and Benefits

The base pay range for this position is between $200,000-$280,000 per year. Base pay is one component of Pearl’s total compensation package, which also includes access to healthcare benefits, a 401(k) plan and company match, possible equity options, and much more. Please visit our benefits page for more information: https://pearlhealth.com/our-benefits/

*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.