Vice President, MA & CHS MSSP/LEAD Success

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Quick Summary

Overview

The Vice President, MA & MSSP/LEAD Success 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.

Key Responsibilities

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…

Requirements Summary

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…

Technical Tools

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The Vice President will also serve as the SME lead accountable for maximizing performance and profitability for COPE Health Solutions’ own, currently California-based. CHS IPA ACO (MSSP or LEAD to be determined for 2027) and will be responsible for partnering with the finance, medical, and clinical executives in NY to build out, operate, and maximize profitable revenue for a CHS ACO in NY, which eventually will likely add on an IPA and may possibly be driven through a health plan JV.

This position will also drive broader value-based care, population health, and delivery system transformation engagements based on firm priorities.

The Vice President 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 and across our VBC Enablement team

FLSA Status	Exempt	Salary Range	$160,000- $218,000
Reports To	Vice President, VBC	Direct Reports	None
Location	Onsite, CA, Los Angeles	Travel	Up to 60%
Work Type	Regular	Schedule	Full Time

Key Responsibilities

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

Qualifications:

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

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/.

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA-certified population health management platform and highly experienced team bring deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.