About The Position

A growing, multistate Medicare Shared Savings Program (MSSP) accountable care organization focused on skilled nursing and long-term care residents is hiring an Executive Director of ACO Operations. This hands-on executive role is responsible for running day-to-day operations while the founder retains responsibility for strategy. The Executive Director owns operations, provider relationships, and performance, and reports directly to the founder. The position is remote within the United States and requires travel to participating states. Compensation is a base salary of $225,000 to $275,000 per year, plus a share of ACO savings; the terms of the savings share are discussed during the interview process.

Requirements

  • Senior leadership experience in Medicare ACO operations, such as executive director, COO, VP of ACO operations, or a similar role.
  • Working knowledge of the Medicare Shared Savings Program.
  • Direct accountability for financial results, shared savings, and quality performance.
  • Experience managing physician relationships and a distributed team.
  • Willingness to travel to participating states.

Nice To Haves

  • Experience with skilled nursing, nursing home, or other institutional Medicare populations.
  • Multistate operations experience.
  • Familiarity with CMS reconciliation, risk adjustment, and claims analytics.
  • Experience moving an owner-run organization to professional management.

Responsibilities

  • Run daily operations of a multistate MSSP ACO.
  • Own relationships with participating physicians, practices, and long-term care providers.
  • Drive shared-savings performance, quality reporting, and CMS compliance.
  • Track medical expenditures, benchmarks, and utilization with finance and analytics partners.
  • Lead staff, vendors, and operational partners.
  • Execute the founder’s growth plan, including expanding provider participation.

Benefits

  • Remote work from anywhere in the U.S.
  • Base salary of $225,000 to $275,000 per year, plus a share of ACO savings.
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