COPE Health Solutions · 1 week ago
Director, MSSP and ACO Strategy
LA Metro Area
Full-time
Hybrid
Lead/Staff, Director/Executive
$160K/yr - $218K/yr
5+ years expCOPE Health Solutions is a national tech-enabled services firm focused on transforming healthcare delivery. The Director of Medicare Strategy will lead high-impact advisory engagements with a focus on Medicare Shared Savings Programs and ACO strategy, while managing client relationships and ensuring performance and profitability for the firm's ACO strategy.
ConsultingHealth CareProfessional Services
Hiring Manager
Lilia C.
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
Qualification
Required
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
Comprehensive, affordable insurance plans for our team and their families
Yearly stipend for wellness-related activities
Paid parental leave program
Company
COPE Health Solutions
COPE Health Solutions is a national mission-driven consulting firm that partners with health system and payer clients and provides.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$7.5MKey Investors
MindTree
2022-04-05Series A· $7.5M
Leadership Team
Allen Miller
Principal & CEO
Recent News
2025-08-13
2025-04-02
2024-05-20
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