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Director, ACO Performance

NYC Hybrid OR Remote with Occasional Travel

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 and have experience building infrastructure from the ground up in a fast-paced environment
  • You get things done and you love working in a dynamic environment

Pay:

The salary range for this role is $190,000 - $220,000 and will be eligible for an annual performance based bonus and equity grant. Where a new hire falls within this range will be based on their individual skills and experience, and how these competencies compare across other employees in the same role. Stellar's bands are designed to allow for individual compensation growth within the role.  As such, new hires typically start at the lower end of the range.  Stellar rewards performance and outcomes - should you join the company, you will have the opportunity to grow your salary over time.

Stellar reserves the right to change our compensation bands at any time.

Perks & Benefits:

Stellar offers a carefully curated selection of wellness benefits and perks to our employees:

  • Medical, Dental and Vision Benefits
  • Unlimited PTO
  • Universal Paid Family Leave
  • Company sponsored One Medical memberships and Citibike memberships
  • Medical Travel Benefits 
  • A monthly wellness stipend that gives employees the freedom to choose where they spend their cash, whether it be on wellness, pet care, childcare, WFH items, or charitable donations
  • Stock Options & a 401k matching program
  • Career development opportunities like Manager Training, coaching, and an internal mobility program
  • A broad calendar of company sponsored social events that for our in-office and remote employees

Diversity is the key to our success. Stellar Health is an equal opportunity employer and we are open to all qualified applicants regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, veteran status, or any other legally protected status.  

We believe that diverse teams -and the different identities, cultures, and life experiences our team members bring to the table- enable us to create amazing products, find creative solutions to interesting problems, and build an inclusive working environment. 

Stellar Health Employment Privacy Notice

At Stellar Health, your privacy and security as a job seeker is a priority no matter where you are in the interview process. As recruiting scams have become more prevalent, please take note of the following practices to ensure the legitimacy of any interaction with our team. 

  • Please note that any communication from our recruiters and hiring managers at Stellar Health about a job opportunity will only be made by a Stellar Health employee with an @stellar.health email address. 
  • Stellar Health does not utilize third-party agencies for recruitment services and does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information. 
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If you are ever unsure whether you are in contact with a legitimate Stellar Health teammate, please contact people-team@stellar.health. If you believe you've been a victim of a phishing attack, please mark the communication as “spam” and immediately report it by contacting the U.S. Federal Trade Commission.

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