COPE Health Solutions Careers

Description

• Understand and educate on detailed MSSP and LEAD ACO Program nuances and demonstrate deep expertise in participation agreements, program rules, and relevant policy areas – be able to leverage that expertise to maximize profitable revenue
• Remain deeply expert on all aspects of MSSP and LEAD ACO, including new aligned programs such as ACCESS, ASM, and any others that are released, including the specific levers that drive financial success through quality, HCC, growth, network, and/or other factors.
• Lead the strategy and be responsible for the performance and profitability of the CHS ACO in California and the planned CHS ACO and potentially IPA in NY.
• Lead and deliver complex VBC enablement engagements with external clients, often focused on MSSP and LEAD ACO strategy, readiness, and performance optimization, or broader population health and value-based care initiatives.

• Responsible for the maintenance of quality and risk mitigation standards and plans for accounts in coordination with senior account leadership, including assessing the effectiveness of strategies deployed

• Manage all assigned aspects of VBC enablement engagements from scope definition through delivery, assuming accountability for contract deliverables, timelines, resourcing, and budgets.
• Guide clients through program selection, participation strategy, risk track optimization, and multi-year roadmaps for accountable care participation.
• Develop and articulate strategic recommendations aligned with client goals related to quality performance, cost management, and financial sustainability.
• Partner with analytics, finance, clinical, and actuarial resources to assess cost drivers, risk adjustment performance, and quality outcomes.
• Evaluate CMS quality measures and performance benchmarks to inform performance

• Build and manage strong executive-level relationships with client leadership, serving as a trusted advisor throughout the engagement lifecycle.

• Contribute to the development of value-added thought leadership related to MSSP, LEAD ACO, related programs such as ACCESS, ASM, and others released in the future, and population health.
• Drive sales – from lead generation through networking, thought leadership, and conference participation to execution.

• Contribute to thought leadership through the development of articles, case studies, sales materials, internal curricula, and client-facing content.
• Support the professional development and growth of direct reports and team members in line with the values and culture of the organization; serve as a leader/mentor to generate a vision, establish direction, motivate team members, and create an atmosphere of trust

• Achieve the assigned revenue target for the Vice President level, through a combination of new and expanded business
• Ensure compliance with all local, state, and federal regulations and ethical standards

• Master’s degree in an applicable field (e.g., MBA, MPH, MHA) strongly preferred
• –10-20 years of experience in consulting and/or related operations in a health care setting
• Significant experience in MSSP and ACO REACH program operations and leadership. Strong communication and interpersonal skills; experience in managing senior key stakeholder relationships
• A minimum of 10 years’ experience leading Medicare ACOs with detailed knowledge of program specifics
• Strong knowledge of and interest in relevant policy areas (e.g., MPFS, MACRA, CMMI models)
• Experience and desire to train, motivate, develop, and lead diverse staff

• High level of proficiency in Excel and other Microsoft Office programs

• Skills related to effective project management, including a strong work ethic, attention to detail, time management, ability to prioritize, problem-solving, flexibility, and willingness to learn
• Open to traveling up to 60%
• Flexibility to work evenings and weekends as necessary
• Ability to work effectively on multiple projects with a team in a fast-paced environment