Executive Director of ACO & Value-Based Strategy

Position Overview:

The Executive Director of ACO & Value-Based Strategy serves as the strategic architect and business lead for Bluestone’s value-based care platform. Reporting directly to the CFO, this leader owns CMS program strategy, actuarial modeling, benchmark analysis, and commercial value-based contract design across all risk programs (including MSSP and ACO LEAD) and third-party affiliate relationships.

Operating as an elite strategic and analytical leader, this role translates complex data into high-ROI opportunities without building an administrative operational footprint. Execution of population health, quality, and coding workflows is driven by the Chief Health Informatics Officer (CHIO), while market delivery is owned by the President of Primary Care. 

Schedule: Full time position

Location: 

Salary: $210,000 - $260,000 base compensation plus bonus

Responsibilities:

CMS ACO Strategy & Program Administration

• Own end-to-end strategy, evaluation, annual enrollment, and ongoing compliance for CMS value-based programs (MSSP, ACO LEAD, and future CMMI models).
• Partner with the CFO and external actuarial resources to model financial scenarios, calculate benchmark targets, track shared savings/loss corridors, and present strategic recommendations to the CEO and Board. 
• Serve as the primary administrative and regulatory liaison with CMS and industry coalitions. 

Commercial & MSO Architecture

• Structure, evaluate, and manage financial and business terms for Bluestone’s MSO/affiliate relationships, ensuring partner arrangements achieve forecasted yields.
• Partner with the SVP of Growth and CSO to evaluate, design, and structure value-based arrangements (e.g., shared savings, PMPM gainshare, commercial risk) with MCOs and Medicare Advantage payers. 

Data Insights & Cross-Functional Alignment

• Analyze clinical, financial, and actuarial data to identify high-ROI opportunities in performance, utilization, and benchmark capture.
• Translate data insights into programmatic priorities, handing off technical/workflow designs to the CHIO (for HCC coding, quality, and attribution infrastructure) and field execution to Primary Care operations.
• Establish key metric frameworks to track commercial and CMS risk contract performance. 

Qualifications:

• Experience: 8+ years of progressive leadership in value-based care strategy, ACO administration, or health plan finance, with direct expertise in MSSP, ACO REACH/LEAD, or CMMI risk models.
• Financial & Actuarial Rigor: Deep mastery of ACO benchmark calculations, CMS-HCC risk adjustment methodology, shared savings attribution logic, and value-based contract modeling.
• Matrix Leadership: Exceptional ability to influence outcomes through collaborative handoffs across informatics, finance, and primary care operations without requiring direct operational staff build-out.
• Education: Bachelor’s degree in Finance, Healthcare Administration, Business, or related quantitative field required; Master’s (MBA, MHA, MS) preferred.

Bluestone Benefits:

• Health Insurance
• Dental Insurance
• Vision Materials Insurance
• Company paid Life Insurance
• Company paid Short and Long-term Disability
• Health Savings Account (with employer contribution)
• Flexible Spending Account (FSA) 
• Retirement plan with 4% matching contributions
• Unlimited PTO Plan