I’m a builder of businesses, systems, and stories.

I’m Steven Duque — Chief Business Officer at Pearl Health — where my work sits at the intersection of GTM, product, strategy, operations, and AI. I focus on connecting the dots across the business so we can grow with intention, scale with integrity, and deliver real value to the people we serve.

At Pearl, I’ve helped lead the organization through ~60× growth, expanding our footprint to 45 states and shaping the commercial and operational foundations that now support 230,000+ patients and more than 5,000 clinicians. I work closely with operations, product, engineering, clinical, finance, data science, and legal teams to translate complex policy, technology, and payment concepts into solutions that drive measurable value in the real world.

My role today centers on shaping the future of Pearl’s business and brand — leading the creation of a new software revenue line (0→1), driving enterprise brand transformation, automating growth for small-to-mid-size providers, opening new access pathways and ecosystem partnerships, and supporting the GTM transition to a regionally focused, P&L-aligned commercial model.

I love tackling ambiguous problems, uniting cross-functional teams around a clear narrative, and building systems that scale — with creativity, clarity, and impact. I thrive where strategy meets execution, where ambiguity invites invention, and where aligned teams create durable enterprise value.

I believe technology should amplify the human parts of businesses — the relationships, the trust, the moments that matter — not replace them.

Before Pearl, I cut my teeth leading marketing at Catalant Technologies, running product and marketing at Happie (now defunct), and various marketing, product marketing, and business development roles at Intuit Quickbase, Bullhorn, and Jack Morton Worldwide — with a detour as a vending machine innovation entrepreneur. Each role stretched me in different ways: building teams from scratch, launching products into new categories, and telling stories that stood out in crowded, competitive markets.

What I’ve learned is simple: growth is a system. It works only when story, strategy, and execution align. I’ve helped build that system at the executive level and made it real alongside growth, marketing, and product teams in the trenches.

And if there’s one thing I believe, it’s this: you can’t build a system from a distance. You have to get your hands dirty. That’s where I thrive: helping ambitious teams put the first pieces in place, then intelligently scaling what works into something much bigger.