Director, Clinical Performance

This is a fully remote position, open to applicants in New York, +2 more states.

📋 Description

• Manage the clinical relationships for a portfolio of Pearl Health client ACOs.

• Analyze patterns of utilization, gaps in quality measures, trends in risk adjustment and coding, as well as cost drivers.

• Identify the underlying causes of client performance trends utilizing internal data sources.

• Act as the primary subject matter expert in clinical and population health for assigned clients.

• Collaborate with Markets and Customer Success teams on client strategies and account meetings.

• Oversee multiple client relationships while establishing trust and credibility.

• Conduct performance reviews and in-depth sessions with clients.

• Convert clinical, quality, and financial data into actionable insights.

• Promote the adoption of recommendations and tailor improvement plans.

• Create and manage client action plans and workstreams.

• Coordinate internal stakeholders regarding client performance programs.

• Represent clinical and client viewpoints in internal strategic discussions.

• Contribute to the development of analytics, performance programs, products, and playbooks.

• Formulate business cases for new programs, partnerships, and investments.

• Mentor clinical and administrative teams within client organizations.

• Lead workflow discovery and design integration pathways for Pearl's signals in client EHR workflows.

• Take responsibility for quality, cost of care, and risk adjustment outcomes across the client portfolio.

⛳️ Requirements

• MD, DO, or APP, board-certified with direct clinical practice experience.

• Specialties aligned with primary care or adjacent chronic condition management are highly suitable.

• Hands-on experience with value-based care and quality management within a VBC contract environment.

• Familiarity with the mechanics of the Medicare ACO program, including benchmarking, risk adjustment, quality measure scoring, and shared savings.

• Understanding of EHR workflows and practice operations.

• Ability to convert EHR workflows into clear requirements for technical integration.

• Credibility to engage with physicians and practice leadership as a clinical peer.

• Proven track record of establishing trust with physician and executive audiences.

• Capability to translate clinical nuances into actionable business recommendations.

• Ability to build credibility and cultivate partnerships in high-stakes client environments.

• Proficient in driving client engagement and ensuring follow-through.

• Comfortable managing a diverse portfolio of concurrent client relationships.

• Experience collaborating with account management, customer success, or market-facing teams.

• Ability to work directly with data and independently identify performance drivers.

• Strong project management capabilities.

• Direct experience with value-based care performance and quality metrics, including quality measure scoring, HCC coding/risk adjustment, and total cost of care.

• Ability to translate analysis into concrete action steps and drive completion with clients.

• Must be eligible to work in the United States without any restrictions.

• Visa sponsorship is not required to continue working in the United States.

🏝️ Benefits

• Discretionary performance bonus.

• Equity options.

• Competitive benefits package.