Associate Vice President, Accountable Care Organizations (ACO)

Serve as the executive accountable for overall shared savings performance under the CMS ACO LEAD model.

Analyze spend trends against historical and market performance, identify underperformance drivers, and lead high-impact initiatives to mitigate avoidable utilization. 

Strategically deploy and implement IKS solutions including population health management platform, risk stratification, actuarial modeling, agentic patient engagement, care gap closure, HCC coding, and targeted cost of care management.  

Optimize panel attribution, risk adjustment, and quality performance across and within ACO participant groups.

 Operationalize workflow changes to participant clinic operations and care models through engaging deeply in participant group change management

 Build a lean team while continuing to serve as player-coach with significant time embedded in participant groups to drive performance alongside clinical, operational, and executive teams

 Manage ACO administrative operations, facilitating effective coordination across compliance, data, GTM, and clinical partner teams.

 Oversee all CMS ACO LEAD regulatory functions, ensuring strict compliance with federal guidelines, governance structures, and reporting requirements.

 Evaluate and contract with prospective participant groups.

8+ years of progressive value-based care leadership experience, including at least 5+ years directly managing ACO operations in MSSP and/or REACH.

Experience building, scaling, and operationalizing an early-stage or newly launched ACO network with measurable success generating shared savings in significant downside risk.

Proven success guiding inexperienced practices through the operational, clinical, and cultural transition required to succeed in two-sided risk arrangements.

Hands-on experience scaling an early-stage ACO, building out provider networks, and establishing operational execution frameworks from the ground up.

Deep regulatory acumen in federal ACO programs (MSSP, ACO REACH, or ACO LEAD) with experience overseeing entity governance, reporting, and compliance alongside centralized support teams.

Strong analytical and operator skills to readily translate complex claims, clinical, and financial data into actionable strategies.

Self-starter with a bias to action and disciplined self-accountability within complex organizational structures.

High executive presence with a player-coach mindset and a willingness to travel ~40% across the Pacific Northwest to build trust and drive on-site execution with practice leadership.