Director, ACO Performance

About Stellar Health:

Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures, rather than the quality of health outcomes. 

At Stellar Health, we help primary care providers put patient health first. Our platform - a mix of technology, people, and analytics - supports providers at the point of care, delivering real-time patient information, activating practice staff, and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App, our web-based, point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete, and Payors save money in reduced healthcare costs along the way.  

Stellar is a US-based Health-tech backed by Top VCs (General Atlantic, Point72, & Primary Venture Partners)​​ with an established product & proven operating model. We’ve shown that we make a real difference for physician practices and their patients.

About the Position:

The Director, ACO Performance will report directly to the VBC Organizational Leader and be tasked with overall contract performance (total surplus) for Stellar’s value-based risk contracts with payors, and MSSP ACO, and all subcomponents of performance underneath: total cost of care, quality, risk adjustment and AWV completion.

This role requires an individual with significant experience working in value-based organizations, and an ability to think strategically to come up with best practice strategies to drive performance in value-based contracts. The Director, ACO Performance must have an analytical mindset, and experience working closely with tech, operational and finance teams. 

What You’ll Do

• Own the organizational KPI of global contract performance (surplus) on MSSP ACO and all payor risk contracts
• Quality of care, risk adjustment, AWV performance
• Manage all contracts/personnel focused in these performance areas
• Work with analytics to set Stellar app based performance targets to align to contractual financial projections at TIN and global level
• Work with Provider Engagement Team to understand performance opportunities and implement strategies at each operational level
• Total cost of care performance
• Collaborate with analytics for cost modeling baselines on various contracts to set key performance targets for major areas of spend and utilization (inpatient, outpatient, SNF stays, ED visit, et.c)
• Work with product and clinical resources to create performance strategies and metrics that align to contractual financial projections
• Work with Product to identify, pilot and implement strategies for improving cost of care and patient outcomes 
• Attribution maintenance strategy
• Work with analytics to understand quarterly attribution, patients at-risk of falling off, and potentially attributable patients
• Enacting outreach/AWV strategies to optimize attribution with MSSP ACO at provider level
• Develop innovative performance strategies
• Collaborate with product on how to build and roadmap for support of key contract driving levers
• Support ACO Leadership in Financial Projections, pro-forma and reinsurance/stop loss assessment needs
• Manage and develop small team of high performing individuals

As Director, ACO Performance You Should Have:

• 8+ years healthcare experience
• 5+ years experience at an MSSP ACO and/or clinically integrated networks taking financial risk on payor contracts, or Medicare Advantage plan 
• 4+ years of management experience
• Bachelor’s degree required
• Graduate degree preferred but not required (MBA, MHA, MPH)
• Start-up/tech experienced preferred
• Value-based performance strategy and contracting experience
• Experience/understanding of quality and risk adjustment programs
• You are an exceptional communicator, and are able to crisply articulate problems and solutions even when operating under uncertainty
• Experience working with Finance,  Medical Economics / Analytics, Provider Engagement, and Product Teams

Who Will Love this Job:

• You have experience owning key organizational KPIs and thrive in the autonomy and ownership
• You have a deep passion for empowering the goals of value-based care in the primary care environment
• You care about care delivery and improving patient outcomes
• You are excited about a