Pearl Health Benefits Overview

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Lead valuation and reserving for Pearl Health’s MSSP ACO book, including model development, IBNR reserves, monthly and quarterly financial closes, CMS settlement reconciliation, and performance-year forecasting. Interpret MSSP data and collaborate with Engineering, Operations, Customer Success, and Data Science. Deliver financial reporting insights to leadership and help guide value-based care program development.

Lead enterprise growth across the Northeast by sourcing, structuring, negotiating, and closing partnerships with health systems, physician groups, ACOs, and IPAs in Medicare value-based care. Develop regional acquisition strategy, manage pipeline and forecasting, represent the company at industry events, build executive relationships, and collaborate cross-functionally on offerings, business cases, and regional operations.