Director ACO Operations

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🔥 15 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

⚙️ Operations

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Chamber

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Chamber is a company focused on improving cardiovascular health by empowering cardiology teams to thrive in a value-based care environment. It partners with cardiologists to offer technology solutions and support services that enable comprehensive care and unlock new revenue opportunities, at no cost to the practice. Chamber aids in navigating value-based care through real-time insights, administrative support, and expertise in payer negotiations. With a strong network of high-performing cardiologists and partnerships with hospital systems, Chamber is transforming the cardiology care ecosystem to ensure providers are compensated for delivering the right care at the right time.

📋 Description

• 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. • 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. • 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. • 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.

🎯 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.

🏖️ Benefits

• 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.