• 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.