Director, ACO Performance

Summary

Join Stellar Health as the Director, ACO Performance and be responsible for the overall contract performance of value-based risk contracts. You will own key organizational KPIs, manage contracts and personnel, collaborate with various teams (analytics, provider engagement, product, clinical resources), and develop performance strategies. This role requires significant experience in value-based organizations, strong analytical skills, and excellent communication abilities. The ideal candidate will have a passion for value-based care and improving patient outcomes. Stellar offers a competitive salary, annual performance-based bonus, equity grant, and a comprehensive benefits package.

Requirements

• 8+ years healthcare experience
• 5+ years experience at an MSSP ACO and/or clinically integrated networks taking financial risk on payor contracts, or Medicare Advantage plan
• 4+ years of management experience
• Bachelor’s degree required
• Experience working with Finance, Medical Economics / Analytics, Provider Engagement, and Product Teams

Responsibilities

• Own the organizational KPI of global contract performance (surplus) on MSSP ACO and all payor risk contracts
• Quality of care, risk adjustment, AWV performance
• Manage all contracts/personnel focused in these performance areas
• Work with analytics to set Stellar app based performance targets to align to contractual financial projections at TIN and global level
• Work with Provider Engagement Team to understand performance opportunities and implement strategies at each operational level
• Total cost of care performance
• Collaborate with analytics for cost modeling baselines on various contracts to set key performance targets for major areas of spend and utilization (inpatient, outpatient, SNF stays, ED visit, et.c)
• Work with product and clinical resources to create performance strategies and metrics that align to contractual financial projections
• Work with Product to identify, pilot and implement strategies for improving cost of care and patient outcomes
• Attribution maintenance strategy
• Work with analytics to understand quarterly attribution, patients at-risk of falling off, and potentially attributable patients
• Enacting outreach/AWV strategies to optimize attribution with MSSP ACO at provider level
• Develop innovative performance strategies
• Collaborate with product on how to build and roadmap for support of key contract driving levers
• Support ACO Leadership in Financial Projections, pro-forma and reinsurance/stop loss assessment needs
• Manage and develop small team of high performing individuals

Preferred Qualifications

• Graduate degree preferred but not required (MBA, MHA, MPH)
• Start-up/tech experienced preferred
• Value-based performance strategy and contracting experience
• Experience/understanding of quality and risk adjustment programs
• You are an exceptional communicator, and are able to crisply articulate problems and solutions even when operating under uncertainty

Benefits

• The salary range for this role is $190,000 - $220,000 and will be eligible for an annual performance based bonus and equity grant
• Medical, Dental and Vision Benefits
• Unlimited PTO
• Universal Paid Family Leave
• Company sponsored One Medical memberships and Citibike memberships
• Medical Travel Benefits
• A monthly wellness stipend that gives employees the freedom to choose where they spend their cash, whether it be on wellness, pet care, childcare, WFH items, or charitable donations
• Stock Options & a 401k matching program
• Career development opportunities like Manager Training, coaching, and an internal mobility program
• A broad calendar of company sponsored social events that for our in-office and remote employees