About the Position:
The Director, ACO Performance will report directly to the VBC Organizational Leader and be tasked with overall contract performance (total surplus) for Stellar’s value-based risk contracts with payors, and MSSP ACO, and all subcomponents of performance underneath: total cost of care, quality, risk adjustment and AWV completion.
This role requires an individual with significant experience working in value-based organizations, and an ability to think strategically to come up with best practice strategies to drive performance in value-based contracts. The Director, ACO Performance must have an analytical mindset, and experience working closely with tech, operational and finance teams.
What You’ll Do
- 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
As Director, ACO Performance You Should Have:
- 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
- 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
- Experience working with Finance, Medical Economics / Analytics, Provider Engagement, and Product Teams
Who Will Love this Job:
- You have experience owning key organizational KPIs and thrive in the autonomy and ownership
- You have a deep passion for empowering the goals of value-based care in the primary care environment
- You care about care delivery and improving patient outcomes
- You are excited about and have experience building infrastructure from the ground up in a fast-paced environment
- You get things done and you love working in a dynamic environment
Pay:
The salary range for this role is $190,000 - $220,000 and will be eligible for an annual performance based bonus and equity grant. Where a new hire falls within this range will be based on their individual skills and experience, and how these competencies compare across other employees in the same role. Stellar's bands are designed to allow for individual compensation growth within the role. As such, new hires typically start at the lower end of the range. Stellar rewards performance and outcomes - should you join the company, you will have the opportunity to grow your salary over time.
Stellar reserves the right to change our compensation bands at any time.
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