Director, MSSP and ACO Strategy
Description
Director, MSSP and ACO Strategy
FLSA Status | Exempt | Salary Range | $160,000 - $218,000 |
Reports To | Vice President, VBC | Direct Reports | None |
Location | Los Angeles, or remote with travel | Travel | Up to 60%, depending on location |
Work Type | Regular | Schedule | Full Time |
The Director of Medicare Strategy leads high-impact healthcare advisory engagements with a primary focus on Medicare Shared Savings Program (MSSP) and ACO REACH strategy and operations, while also providing SME support for Medicare Advantage clients and market drivers. The Director will also serve as the SME lead accountable for maximizing performance and profitability for COPE Health Solutions’ own CHS IPA ACO (MSSP or REACH to be determined for 2027) strategy. This position may also drive broader value-based care, population health, and delivery system transformation engagements based on firm priorities.
The Director is accountable for sales generation and execution, end-to-end engagement delivery, client relationship management, internal initiative leadership, and contribution to thought leadership for areas of expertise.
Key Responsibilities
- Understand and educate on detailed MSSP and ACO REACH Program nuances and demonstrate deep expertise of participation agreements, program rules and relevant policy areas
- Remain deeply expert on all aspects of MSSP and REACH 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 responsible for performance and profitability of the CHS IPA ACO.
- Lead and deliver complex VBC enablement engagements focused on MSSP and ACO. REACH strategy, readiness, and performance optimization, alongside broader population health and value-based care initiatives.
- 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-add thought leadership related to MSSP, ACO REACH, 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 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, create an atmosphere of trust.
- Achieve assigned revenue target for Director level, through a combination of new and expanded business.
- Ensure compliance with all local, state, and federal regulations and ethical standards.
Qualifications:
- Master’s degree in an applicable field (e.g., MBA, MPH, MHA) strongly preferred
- 5 - 10 years of experience in consulting and/or related operations in a health care setting
- Strong communication and interpersonal skills; experience in managing senior key stakeholder relationships
- A minimum of 5 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 strong work ethic, attention to detail, time management, ability to prioritize, problem solving, flexibility and willingness to learn
- Open to traveling up to 30% (e.g., Monday – Thursday)
- Flexibility to work evenings and weekends as necessary.
- Ability to work effectively on multiple projects with a team in a fast-paced environment
- Prior experience in MSSP and ACO program leadership
Benefits:
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
What We Do:
COPE Health Solutions is a national tech-enabled services firm, with a population health management analytics software solution Analytics for Risk Contracting (ARC), collaboratively implementing proven products with payer and provider clients to power success in risk arrangements and development of the future workforce. Our multidisciplinary team provides payers and providers with the experience, capabilities and tools needed to plan for, design, implement and support strategy development and execution. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed for value-based care.
To Apply:
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.