Lead, ACO Performance

Stellar Health•New York, NY

About The Position

The Lead, ACO Performance is the general manager and performance owner for two important Medicare ACO relationships: Stellar Health’s participation in CMS’s LEAD (Long-term Enhanced ACO Design) Model and its partnership with the affiliated provider network of an academic health system. The role is part of the Nova Performance function, which owns aggregate performance across quality, total cost of care, and shared savings for Stellar’s risk contracts. It works with Provider Success to turn network-wide goals into provider-level action.

Requirements

At least 4 years of experience in healthcare operations, value-based care, ACO or managed care, or account management in a health-tech or provider services environment.
Experience owning a book of business or set of accounts end to end, working autonomously and delivering measurable outcomes with limited day-to-day oversight.
Ability to lead executive-facing meetings and clearly communicate performance and risk to internal leaders and external partners.
Strong analytical skills, including fluency in Excel and BI tools, and the ability to turn performance data into actionable insight.
Ability to work independently on ambiguous problems, set short-term priorities, and proactively seek input on longer-term direction.
Excellent written and verbal communication skills and ability to build trust with cross-functional teams and external stakeholders.
Collaborative approach and ability to drive outcomes through influence and partnership.

Nice To Haves

Knowledge of Medicare total cost of care risk models such as MSSP, ACO REACH, the LEAD Model, or similar.

Responsibilities

Own aggregate quality, total cost of care, and shared savings or risk results across two CMS ACO accounts.
Define benchmarks and success criteria with Analytics, Med Econ, and functional leadership, and translate them into measurable operational targets.
Own agendas, materials, and facilitation for ACO steering committee and operating reviews, and establish internal executive reporting cadence.
Analyze quality, claims, and total cost of care data to identify performance drivers and provide actionable recommendations.
Partner with Provider Success counterparts to create, execute, and track data-driven action plans for identified performance gaps.
Recommend and refine the SVU menu and incentive design for each ACO.
Monitor LEAD Model requirements and milestones, including benchmarking, risk track elections, and reporting obligations, and coordinate internal readiness.
Identify performance risks and escalate them to the VP, Nova Performance with a clear plan.
Share lessons and best practices across the Nova Performance team and help develop scalable playbooks and tools.