ChamberCardio - Director ACO Operations
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. • Our values guide how we lead, collaborate, and care: • Low Ego: We stay grounded, curious, and open to feedback. • Empathy: We build trust through compassion and thoughtful communication. • Courage: We take action, think critically, and challenge ideas respectfully. • Ownership: We follow through with integrity and hold ourselves to high standards. • Grit: We push through ambiguity, move with urgency, and solve problems with horsepower and heart. • Remote, with a preference for candidates based in the Eastern or Central time zone. Periodic travel — expected roughly quarterly — to Chamber practices or offices may be required.
Responsibilities
• OPERATING & PROVING THE ACO MODEL • Launch Chamber’s ACO and own its performance, holding the operating model, workflows, and controls to a high standard as the network scales. • Prove the specialty-focused model in cardiology, using early results to shape how the network grows. • Own the CMS submission and enrollment cycle end to end, building the calendar and controls that keep every filing accurate and on time. • Serve as the operational and analytic engine of the ACO, exercising independent judgment on performance, compliance, and provider success. • GOVERNANCE & COMPLIANCE • Establish and manage ACO governance — the committee structures, decision rights, and reporting cadences that keep the entity accountable and audit-ready. • Own regulatory compliance across the program (e.g., MSSP, ACO REACH), monitoring requirements and adapting operations to policy changes. • Serve as Chamber’s representative to CMS, federal agencies, and external partners on matters affecting ACO outcomes. • PAYMENT OPERATIONS (WITH FINANCE & NETWORK) • Partner with Finance and Provider Network to design and run payment operations, translating value-based contracts into working financial workflows — attribution, reconciliation, and settlement. • 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 against quality, cost, and utilization targets. • Analyze performance data to develop strategic recommendations on ACO operations, quality improvement, and total cost of care. • WHAT YOU’LL ACHIEVE IN YOUR FIRST 90 DAYS • Master the ACO launch plan — operating model, compliance obligations, and open risks — and align leadership on the critical path to launch. • Own the CMS submission and enrollment work for launch, standing up the processes and documentation that keep every filing accurate and on time. • Partner with Finance and Network to ready payment operations, pressure-testing attribution, reconciliation, and provider payment before launch.
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