Pearl Health

• Drive system design and technical planning for projects, including large, complex, cross-functional initiatives • Partner on architectural decisions for critical systems, ensuring solutions are scalable, maintainable, and aligned with Pearl's long-term technical vision • Define and implement engineering standards, patterns, and best practices that improve scalability, reliability, and developer productivity across the organization • Partner to make strategic trade-offs between technical debt, feature delivery, and system reliability, clearly communicating the rationale and impact of these decisions • Design and build high-performance, distributed systems including data pipelines, APIs, and microservices that process healthcare data at scale • Architect intuitive, responsive, end to end web applications and internal tools that enable clinical and operations teams to deliver exceptional patient care. • Ensure observability, monitoring, and operational excellence across distributed services, cloud infrastructure, and frontend applications • Apply deep expertise in both backend service design (RESTful and event-driven architectures) and modern frontend frameworks to deliver complete, production-ready solutions • Champion security best practices, data consistency patterns, and regulatory compliance (HIPAA, SOC2) across the entire application stack • Partner with product, operations, and design leadership to align engineering decisions with company priorities and healthcare outcomes • Act as a technical advisor to multiple teams, providing guidance on system design, technology choices, and implementation approaches • Influence and drive technical discussions across the organization, helping teams navigate complex technical challenges and make informed decisions • Translate business requirements into technical strategies, ensuring engineering work directly supports Pearl's mission and growth objectives • Represent the engineering perspective in strategic planning, roadmap prioritization, and resource allocation discussions • Mentor engineers at Software Engineer I, II, and III levels, accelerating their technical growth and leadership development • Foster a strong engineering culture focused on continuous learning, technical excellence, and Pearl's Leadership Principles • Conduct thorough design and code reviews, raising the bar for technical quality and sharing knowledge generously across teams • Model proactive problem-solving, ownership mindset, and bias for action that inspires others to take on greater technical challenges • Contribute to hiring, onboarding, and retention efforts, helping build and scale high-performing engineering teams • Own and drive multi-quarter technical projects with autonomy and accountability, ensuring successful delivery aligned with business timelines • Identify and resolve systemic issues, technical bottlenecks, and cross-team dependencies that impact delivery velocity or system reliability • Balance speed and quality, making pragmatic decisions that enable rapid iteration while maintaining engineering excellence • Measure and communicate the business impact of technical work, connecting engineering outcomes to customer value and organizational goals

• Organize and analyze data across a variety of formats to support Pearl’s provider submission process, inclusive of ACO Operations team workflows. • Build and maintain structured datasets and tracking tools to support team reporting, leveraging AI tools. • Collaborate cross-functionally to address provider submission and workflow gaps. • Adapt quickly to shifting priorities, bringing exceptional attention to detail and a proactive, solutions-oriented approach to every task.

• Design and implement CRM architecture (via HubSpot) improvements that increase efficiency across the Growth and CS orgs, including custom object design, workflow automation, and integration infrastructure • Build bulk contracting infrastructure for peak season in partnership with the broader Growth team • Define the systems integration roadmap: prioritize builds against team capacity and business need, and establish documentation standards (data dictionaries, admin SOPs, integration specs) • Stand up deal pipeline forecasting infrastructure and management dashboards • Lead the design of Growth-to-CS lifecycle processes • Partner with Data Science to formalize deal underwriting inputs and ACO submission workflows • Flex into post-sale operations as priorities require, supporting the CS team with reporting, re-contracting, and systems work • Define and maintain territory plans in partnership with Growth leadership • Own Chase List development, SPIFF planning, and pipeline generation strategy • Own our CRM system (currently HubSpot), including data architecture, data management, data governance, and system integrations • Build and maintain rep-level, region-wide, and executive reports and dashboards • Manage and own all ongoing data quality and architecture improvement initiatives • Own the integration layer between our CRM, contracting system, and other internal Growth / Sales / CS systems • Manage external vendors on scoped technical builds, owning spec, onboarding, and handoffs • Own our contracting system (currently Ironclad), including workflow design, property mapping, bulk contract creation, system integrations, and troubleshooting • Manage the full contracting process (from redline coordination to send for signature to submission) across both off-season and peak-season volumes (5–10/month scaling to 100+) • Extend CRM and reporting architecture to support post-sale use cases, including health scoring, churn risk signals, and CS-team activity tracking • Partner with Customer Success leadership to build and maintain client reporting infrastructure, including practice-level performance reporting, executive business reviews, and ad-hoc reporting workflows • Identify and close gaps in the post-sale tech stack, evaluating tooling and integrations as the CS function matures

• This 4-month contract role owns end-to-end Growth contracting operations during the peak May–September period, supporting 100+ new and renewal contracts. • It's a hands-on execution role managing parallel workflows, partnering across Legal, CS, and ACO Operations, and working directly in CRM/CLM systems. • You’ll serve as the operational hub for the contracting pipeline during the highest-volume season. • Review outgoing contracts for completeness and accuracy prior to send. • Coordinate redline reviews between Growth, Legal, and counterparties, including managed version control, track open issues, and ensure the right stakeholders are looped at each stage. • Send finalized contracts for signature and track execution status through close. • Report out on contract process. • Serve as the operational point of contact for contracts requiring escalation, including flag issues clearly, route to Legal with appropriate context, and track resolution. • Maintain a log of open escalations and ensure nothing stalls without a clear owner and next step. • Conduct audits of executed contracts to verify accuracy of deal terms and then metadata property mapping. • Track compliance with internal contracting standards across the active book. • Surface discrepancies and coordinate corrections with the appropriate team. • Serve as day-to-day Ironclad operator during peak season — troubleshoot workflow errors and signature packet issues. • Maintain workflow accuracy and flag any system issues to the Growth Operations team for resolution. • Design and manage an automation for bulk contract creation. • Execute bulk contract creation workflows for peak-season volume (100+ contracts). • Ensure data accuracy across all bulk-generated contracts prior to send; coordinate with Growth and CS to validate inputs.

• Serve as the strategic operational and analytic engine for ACO operations • Lead cross-functional initiatives to optimize the strategic and operational performance of Medicare ACOs • Direct and oversee the CMS submission process • Develop, evaluate, and implement patient- and provider-facing programs • Analyze program performance data and develop strategic recommendations

• Lead the design and implementation of advanced causal inference and statistical frameworks to measure and forecast the effectiveness of Pearl’s clinical products and operational services. • Design and build the scalable systems required to conduct rigorous impact analyses, moving beyond simple correlations to isolate the true "Pearl Effect" on patient populations. • Develop predictive models to issue forecasts for clinical quality measures (including eCQMs in MSSP and claims-based measures in REACH and LEAD). • Partner with other Staff Data Scientists to refine and validate patient risk models, ensuring that "rising acuity" signals are integrated effectively into our performance evaluation loops. • Partner with Engineering and Analytics to build robust data pipelines and ML infrastructure that support automated, repeatable performance measurement. • Collaborate with Product and Clinical Operations leaders to turn complex statistical findings into actionable narratives that influence product roadmaps and practice coaching. • Architect and oversee AI-driven agents that autonomously manage the end-to-end lifecycle of our statistical models.

• Own portions of the Team 3 backlog. Keep tickets clear, prioritized, and up to date. • Write product specs and requirements documents for platform improvements. • Run sprint planning, standups, and retrospectives with engineering. • Track delivery against the roadmap. Flag risks and blockers early. • Coordinate with Data Ingest (Team 5), Analytics, and Operations teams on shared dependencies. • Document platform workflows, data contracts, and decision rationale. • Investigate and triage data issues. Help determine root cause and next steps. • Prepare status updates and summaries for leadership and cross-functional partners.

• You will design, build, and own the web application that our providers interact with every day. • You will tackle complex technical challenges across the full stack (with a strong emphasis on front end) to ensure our systems are performant, intuitive, and capable of supporting critical clinical workflows. • Build high-performance React applications that transform complex healthcare data into clear, actionable user experiences for clinicians. • Architect and maintain robust Node.js backend services and APIs that power our frontend, balancing data transformation needs with API design best practices. • Ensure data compliance and security at the application layer, including careful handling of protected health information (PHI) and adherence to HIPAA requirements. • Collaborate closely with our design team and product leadership to translate user needs into elegant, functional features. • Own technical projects from discovery to delivery with autonomy, ensuring solutions align with both user experience goals and business objectives. • Drive improvements in application performance, observability, and reliability across our distributed infrastructure. • Mentor and upskill fellow engineers, fostering a strong culture of technical best practices and collaborative growth.

• Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs, including voluntary alignment, provider submission, CMS communications, and much more. • Engage in the CMS submission process of information to contractual partners on behalf of our providers and ensure adherence to all ACO program-related requirements. • Collaborate and manage touch-points with external stakeholders, including the federal government, national advocacy organizations, and other partners. • Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.

• Serve as the strategic operational and analytic engine for our Quality Performance initiatives, helping to manage performance and building scalable systems to support our continued improvement. • Lead cross-functional initiatives related to the efficient and seamless operation of our Medicare ACOs with an emphasis on quality performance and management. • Support the execution of our quality measurement and reporting program on behalf of payer and provider partners. • Collaborate and manage touch-points with external stakeholders, including quality partners, national advocacy organizations, and other partners. • Operationalize patient- and provider-facing programs to support patient engagement in their healthcare journey.