Summary

The ACO Executive Director will provide day-to-day oversight to Family Health ACO. This position will facilitate and support ACO governance, operations, and communication strategies, including the development and maintenance of project plans, quality initiatives, cost containment, and patient experience initiatives. This role involves working closely with healthcare providers, payers, and other stakeholders to improve patient outcomes, enhance quality of care, and reduce healthcare costs.

Responsibilities

Governance

• Maintains knowledge regarding ACO policies and procedures, governance structure and regulatory requirements through ongoing research and regular attendance at training webinars.
• Utilizes standard project management tools and principles to define and manage project scope, monitor timelines and deliverables, and communicate and identify pathways to resolve risks and barriers.
• Oversees and maintains effective communication with stakeholders to promote collaboration and achieve shared objectives using communication plans, status reports, dashboard and various media sources tailored to the audience.
• Effectively plans and facilitates meetings of varied participants using standard meeting management tools and techniques (e.g. agendas, meeting roles, ground rules, minutes, action item tracking) including support of meeting logistics for ACO Board of Managers and committees.

Quality and Data

• Leads process improvement, new workflow development, enhancement through support of and collaboration with practices to drive performance on contract quality metrics.
• Establish and monitor key performance indicators (KPIs) to track the ACO's performance, analyze data, and identify areas for improvement in collaboration with ACO committees
• Works collaboratively with FQHCs and providers to develop campaigns to address gaps in care and grow ACO attribution and provide feedback and adjustment as needed to ensure success.
• Leads planning efforts to enable Family Health ACO to achieve high performance in quality metrics and ensure compliance with regulatory requirements.
• In collaboration with FQHC members’ respective analytics teams, develops comprehensive operation for clinical data acquisition, reporting, and workflow development in support of quality measure improvement.

Compliance

• Lead and support the Compliance Committee in creating and maintaining Family Health ACO’s Compliance Plan and provide regular reports to the Board of Managers
• Cooperate with all CMS monitoring and oversight requests and activities.
• Ensure compliance with all applicable state requirements regarding risk-bearing entities, ensure LLC filings are up to date.

Budget and Finance

• Support the ACO’s Finance Committee in developing an annual budget and monitoring adherence to that budget.
• Identify opportunities for cost savings and revenue enhancement

Qualifications

Required:

3 years in healthcare, with value-based care models (CMS MSSP, ACO REACH, Commercial full or partial risk contracts).

Demonstrated understanding of healthcare clinic models, HEDIS measures, STAR ratings, documentation processes, and strategies to close gaps in care and support caring for high and rising risk patients with multiple chronic conditions.

Strong expertise with MS Excel, MS Teams, and PowerPoint.

Preferred:

5 years in healthcare operational management

Master’s in a related field preferred

Demonstrated understanding and experience with SQL queries and analytics, understanding of risk stratification models, and the ability to translated data-driven insights into clear clinical priorities and interventions.

Salary Range: $100,000-125,000/year

Work Location: Remote - Tarrytown, NY

Responsibilities for Internal Candidates

Relation to Mission
The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity
Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities
The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.

Job Type: Full-time

Pay: $100,000.00 - $125,000.00 per year

Education:

• Bachelor's (Preferred)

Experience:

• Value Based Care: 3 years (Required)

Work Location: Remote