Vice President, ACO Performance
New York City, NY - USA
Job Summary
About Stellar Health:
Historically US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures rather than the quality of health outcomes.
At Stellar Health we help primary care providers put patient health first. Our platform - a mix of technology people and analytics - supports providers at the point of care delivering real-time patient information activating practice staff and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App our web-based point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete and Payors save money in reduced healthcare costs along the way.
Stellar is a US-based Health-tech backed by Top VCs (General Atlantic Point72 & Primary Venture Partners) with an established product & proven operating model. Weve shown that we make a real difference for physician practices and their patients.
About the position:
The Vice President of Provider Success & Performance will set the strategy and own the end-to-end results for Stellars total cost of care risk provider network ACO and payor contracts. This leader will oversee two functions Provider Success (provider relationship management escalation and accountability) and Performance (aggregate network performance measurement and target-setting) into a single integrated strategy for maximizing quality performance and total cost of care across the entire book of providers.
This role directly manages each of these functions and their teams and is accountable for translating enterprise-level performance goals into an operating model that scales as the provider network grows. You will set the vision and strategic course for both functions ensure they operate as one cohesive organization and represent provider performance in conversations with senior internal leadership Payors and top provider executives. You will report to the P&L owner of the ACO and Payor Risk Business (titled Nova).
What youll do:
Ensure Delivery of Performance in all ACO/Risk Contracts: Own the risk business aggregate performance results quality performance total cost of care and any other aspect that impact Medical Loss Ratio / Shared Savings / Surplus across the full provider portfolio. Establish the benchmarks targets and executive reporting cadence used to track progress network-wide.
Strategy & Vision: Set the overarching strategy and multi-quarter roadmap for provider performance across the ACO defining how the Provider Success and Performance functions work together to close performance gaps and hit enterprise targets.
Team Leadership & Development: Directly manage coach and develop individuals leading the Provider Success and Performance teams. Build organizational capability across both teams hiring structuring and developing talent to support a growing provider network.
Provider-Level Accountability at Scale: Ensure every provider has a data-driven action plan to close performance gaps and that the Provider Success team is equipped to execute those plans consistently across the network.
Insight Generation & Executive Reporting: Partner with Med Econ and Enterprise Analytics teams to convert aggregate performance data into strategic insight. Communicate performance risk and opportunity to Stellars senior leadership and as needed to Payor and provider executive stakeholders.
Provider Escalation & Executive Relationships: Serve as a key point of escalation for the most complex or highest-stakes provider relationships and build direct relationships with executive leadership at Stellars largest medical groups and health systems.
Cross-Functional Strategy: Partner with Product Med Econ and Clinical leadership to shape clinical programs and total-cost-of-care strategy at the portfolio level ensuring the Provider Success and Performance teams are aligned with broader company strategy.
Operational Scalability: Build and standardize the playbooks workflows and tooling used across both teams so performance management and provider engagement remain consistent and effective as the network scales.
Budget & Resource Planning: Own headcount planning budget and resourcing decisions across the Provider Success and Performance functions.
Travel on occasion to medical groups and health systems up to 25% of time.
As VP Nova Performance you should have:
At least 12 years of experience in healthcare operations with direct career experience in an ACO/managed care organization OR value-based care operations
At least 5 years of experience managing managers and leading multi-team organizations including experience developing senior individual leaders (e.g. Senior Managers or Directors).
A demonstrated track record owning aggregate performance targets not just individual portfolios across a large book of providers or accounts.
Experience setting strategy and translating it into an operating model that others can execute against including 0 1 initiative launches.
Executive presence and experience communicating performance risk and strategy to senior leadership and ideally Payor or provider executive audiences.
The ability to strategically prioritize negotiate deliverables across internal and external stakeholders and make clear decisive trade-offs at an organizational level.
Excellent data analysis skills including fluency with Excel and BI tools to synthesize performance data across a large portfolio.
Exceptional communication skills and the ability to build immediate trust across all levels of internal and external stakeholders from front-desk users to executive teams of large health systems.
Perks & Benefits:
Stellar offers a carefully curated selection of wellness benefits and perks to our employees:
Medical Dental and Vision Benefits
Flexible PTO
Universal Paid Family and Caregiver Leave
Wellhub Gym Memberships
Pre-tax commuter benefits HA FSA plans
Company sponsored One Medical memberships and Citibike memberships
Medical Travel Benefits
JOON a flexible lifestyle spending account that gives our team a monthly stipend to spend on what matters most to them
Stock Options & a 401k matching program
A broad calendar of company sponsored social events that for our in-office and remote employees
Company sponsored lunch for all NY HQ employees
Diversity is the key to our success. Stellar Health is an equal opportunity employer and we are open to all qualified applicants regardless of race color ancestry religion sex national origin sexual orientation age citizenship marital status disability gender identity or expression veteran status or any other legally protected status.
We believe that diverse teams -and the different identities cultures and life experiences our team members bring to the table- enable us to create amazing products find creative solutions to interesting problems and build an inclusive working environment.
Stellar Health Employment Privacy Notice
At Stellar Health your privacy and security as a job seeker is a priority no matter where you are in the interview process. As recruiting scams have become more prevalent please take note of the following practices to ensure the legitimacy of any interaction with our team.
Please note that any communication from our recruiters and hiring managers at Stellar Health about a job opportunity will only be made by a Stellar Health employee with an @ email address.
Stellar Health does not utilize third-party agencies for recruitment services and does not conduct text message or chat-based interviews. Any other email addresses agencies or forums may be phishing scams designed to obtain your personal information.
We will not ask you to provide personal or financial information including but not limited to your social security number online account passwords credit card numbers passport information and other related banking information until we begin onboarding activities which will be coordinated by a member of the Stellar Health People Ops Team with an @ email address.
If you are ever unsure whether you are in contact with a legitimate Stellar Health teammate please contact If you believe youve been a victim of a phishing attack please mark the communication as spam and immediately report it by contacting the U.S. Federal Trade Commission.
Required Experience:
Exec
About Company
Stellar Health is empowering providers and practice staff to deliver high-quality care through real-time notifications and meaningful incentives.