Director, Value Based Care

Role Overview

• Own day-to-day oversight and performance of the organization’s Medicare ACO programs.
• Drive quality, utilization, and financial performance across attributed populations.
• Partner with internal and external stakeholders to ensure compliance with CMS requirements and ACO operational standards.
• Lead performance management across Medicaid, commercial and Medicare Advantage value-based care contracts.
• Monitor, analyze, and communicate contract performance trends, risks, and opportunities to practices and the leadership team.
• Develop and execute intervention strategies to improve outcomes, cost performance, and shared savings results.
• Partner directly with NP-owned primary care practices to support practice transformation, care model adoption, and population health workflows.
• Translate performance data into actionable insights for clinicians and practice teams.
• Support rollout and optimization of population health initiatives (e.g., risk stratification, care gap closure, high-risk patient programs).
• Work closely with data and product teams to define metrics, dashboards, and reporting that support operational and clinical decision-making.
• Use data to identify performance gaps, test solutions, and iterate quickly.
• Help inform product roadmap decisions based on frontline practice and payer insights.
• Manage, mentor, and develop a team including analysts and practice transformation specialists.
• Set clear priorities, workflows, and performance expectations in a fast-paced, evolving environment.
• Balance people leadership with hands-on execution and problem-solving.
• Serve as a key internal partner across operations, product, data, clinical, and finance teams.
• Work directly with payers and external partners to support contract success and program evolution.
• Contribute to scaling the organization’s value-based care model nationally as the practice network grows.

Requirements

• 7+ years of experience in value-based care, population health, Medicare ACOs, or risk-based contracting.
• Direct experience managing or operating Medicare ACO programs and/or Medicare risk arrangements.
• Strong understanding of VBC performance drivers, quality measures, utilization management, and shared savings models.
• Experience working closely with primary care practices and clinical teams.
• Demonstrated ability to lead and develop teams
• High comfort level working with data, analytics, and performance reporting; able to translate data into action.
• Experience collaborating with product and data teams in a healthcare or health tech environment.
• Startup or high-growth environment experience strongly preferred.
• Excellent communication skills and ability to influence across clinical, technical, and payer stakeholders.
• Bachelor’s degree required; advanced degree (MPH, MBA, RN/NP, or similar) a plus.