Director overseeing Medicare ACO programs and managing value-based contract performance at a healthcare company. Empowering nurse practitioners through innovative healthcare solutions.
Responsibilities
Own day-to-day oversight and performance of the organization’s Medicare ACO programs.
Drive quality, utilization, and financial performance across attributed populations.
Partner with internal and external stakeholders to ensure compliance with CMS requirements and ACO operational standards.
Lead performance management across Medicaid, commercial and Medicare Advantage value-based care contracts.
Monitor, analyze, and communicate contract performance trends, risks, and opportunities to practices and the leadership team.
Develop and execute intervention strategies to improve outcomes, cost performance, and shared savings results.
Partner directly with NP-owned primary care practices to support practice transformation, care model adoption, and population health workflows.
Translate performance data into actionable insights for clinicians and practice teams.
Support rollout and optimization of population health initiatives (e.g., risk stratification, care gap closure, high-risk patient programs).
Work closely with data and product teams to define metrics, dashboards, and reporting that support operational and clinical decision-making.
Use data to identify performance gaps, test solutions, and iterate quickly.
Help inform product roadmap decisions based on frontline practice and payer insights.
Manage, mentor, and develop a team including analysts and practice transformation specialists.
Set clear priorities, workflows, and performance expectations in a fast-paced, evolving environment.
Balance people leadership with hands-on execution and problem-solving.
Serve as a key internal partner across operations, product, data, clinical, and finance teams.
Work directly with payers and external partners to support contract success and program evolution.
Contribute to scaling the organization’s value-based care model nationally as the practice network grows.
Requirements
7+ years of experience in value-based care, population health, Medicare ACOs, or risk-based contracting.
Direct experience managing or operating Medicare ACO programs and/or Medicare risk arrangements.
Strong understanding of VBC performance drivers, quality measures, utilization management, and shared savings models.
Experience working closely with primary care practices and clinical teams.
Demonstrated ability to lead and develop teams
High comfort level working with data, analytics, and performance reporting; able to translate data into action.
Experience collaborating with product and data teams in a healthcare or health tech environment.
Startup or high-growth environment experience strongly preferred.
Excellent communication skills and ability to influence across clinical, technical, and payer stakeholders.
Bachelor’s degree required; advanced degree (MPH, MBA, RN/NP, or similar) a plus.
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