Pearl Health

Democratizing access to value in healthcare

Director, ACO Operations

OperationsOperationsFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

New York + 2 moreAll locations: New York, Massachusetts, Washington

Posted

68 days ago

Salary

$150K - $195K / year

Bachelor DegreeEnglish

Job Description

• Lead the end-to-end Provider Submission process • Manage the Roster Management System (RMS) workflow • Provide strategic oversight and execution of Beneficiary Enhancement (BE) and Beneficiary Engagement Incentive (BEI) programs • Direct the development of educational materials and training programs • Oversee mandatory CMS operational tasks • Responsible for CMS-related knowledge management • Manage external resources and contractors during high-volume periods

Job Requirements

  • Orchestrate complex, multi-phase project lifecycles
  • Maintain a zero-margin-for-error standard while overseeing the ingestion and processing of high-volume, mission-critical data sets
  • Proactively identify and resolve bottlenecks in data-intensive workflows
  • Deep technical knowledge of value-based care programs (eg. ACO REACH and/or MSSP) and regulations
  • Accountability for regulatory deadlines, with a proven track record of meeting multi-stakeholder filing requirements without constant oversight.
  • Direct experience with CMS provider submissions, having successfully managed at least one full roster cycle for an ACO or similar value-based care entity.
  • Experience implementing or managing a Roster Management System (RMS) or similar tool used to automate provider data flows.
  • Background in CMS program management or policy, particularly experience with BEI programs and compliance frameworks.
  • Prior leadership in a high-growth startup environment.

Benefits

  • Competitive benefits package. More on our careers page.

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