Executive Director, Medicaid ACO
$175,000–$225,000 year
On-siteWestwood, Massachusetts, United States
Job Summary
Own full P&L for the Medicaid ACO business unit by developing the annual budget, tracking key drivers, and adjusting initiatives to meet aggressive margin and utilization targets. Lead monthly performance reviews to surface risks and mitigation plans, while defining and executing the national growth strategy for Medicaid risk programs through market assessments and portfolio design. Spearhead high-impact initiatives in care management, quality improvement, and network optimization to achieve targets in admissions, total cost of care, and member experience. Directly supervise program leaders and distributed staff to build a high-performing operations unit, ensuring compliance with all Medicaid ACO Agreement requirements and applicable laws. Use robust analytics to drive data-informed decisions and translate insights into actionable programs at scale. Represent the organization in external forums and partner with federal stakeholders, while presenting governance structures to executive and board bodies.
Required Qualifications
- Bachelor's degree required
- Progressive leadership experience overseeing complex risk‐based programs with direct financial accountability and multimarket scale
- Demonstrated success driving program performance through cross functional execution, data‐driven decision making, and portfolio optimization of risk arrangements
- Deep familiarity with Medicaid managed care/ACO operations, MassHealth or comparable state programs, network development, and regulatory engagement
Desired Qualifications
- Master's degree is strongly preferred (e.g., MBA, MHA, MPH or related)
- advanced degree in a healthcare related field strongly preferred
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