Director ACO Operations

We're looking for a Director, ACO Operations to launch and scale Chamber's Accountable Care Organization, going live in January 2027. You'll launch the ACO, run its operations, and prove that a specialty-focused model can outperform in cardiology. The work spans governance and compliance, payment operations, and network performance - and rewards someone who moves fluidly between regulatory detail, execution, and strategic judgment.

You'll partner closely with Finance , Provider Network , Clinical , and Product to make it work. This is a role with real ownership and real consequence. You won't administer a fixed playbook - you'll write one, and define what a specialty ACO can be.

We're looking for an operator who is excited for expanded accountability, and an opportunity to leave their mark on a brand new organization. Key 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.

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.

Chamber Values 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.

Location 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.