Director ACO Operations

Key Responsibilities

• Operating & Proving the ACO Model
• Launch Chamber’s ACO and own its performance
• Hold the operating model, workflows, and controls to a high standard
• Prove the specialty-focused model in cardiology
• Use early results to shape how the network grows
• Own the CMS submission and enrollment cycle end to end
• Build the calendar and controls that keep every filing accurate and on time
• Partner closely with Finance, Provider Network, Clinical, and Product
• Governance & Compliance
• Establish and manage ACO governance
• Own regulatory compliance across the program
• Serve as Chamber’s representative to CMS, federal agencies, and external partners
• Payment Operations (with Finance & Network)
• Partner with Finance and Provider Network to design and run payment operations
• Translate value-based contracts into working financial workflows
• Track performance against financial and contractual metrics
• Surfacing risks and opportunities to leadership with clear, data-grounded recommendations
• Network Performance Management
• Partner with Clinical and Network teams to improve network performance
• Analyze performance data to develop strategic recommendations

Requirements

• 6–10+ years in healthcare operations, with meaningful time in value-based care, population health, or ACO/managed care
• Deep knowledge of Medicare value-based programs (e.g., MSSP, ACO REACH, Medicare Advantage) and their CMS requirements
• Track record of independently owning and scaling complex operational initiatives to measurable outcomes
• Strong command of payment operations and value-based contract mechanics
• Highly analytical, and comfortable in the data yourself — manipulating large files and datasets without waiting on others
• Clear communicator who can distill complex program rules and payment mechanics into sharp takeaways for executive audiences
• Entrepreneurial operator who does their best work amid ambiguity and is accountable for outcomes, not activity