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Salary: USD 210,000 - 260,000 / annual
Bluestone Physician Services is seeking an Executive Director of ACO & Value-Based Strategy to serve as the strategic architect and business lead for the organization's value-based care platform. Reporting directly to the CFO, this leader will own CMS program strategy, actuarial modeling, benchmark analysis, and commercial value-based contract design across all risk programs including MSSP and ACO LEAD, as well as third-party affiliate relationships.
The role operates at an elite strategic and analytical level, translating complex data into high-ROI opportunities without building administrative operational overhead. Execution of population health, quality, and coding workflows is driven by the Chief Health Informatics Officer, while market delivery is owned by the President of Primary Care.
Key responsibilities include:
**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 Chief Strategy Officer to evaluate, design, and structure value-based arrangements (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 and field execution to Primary Care operations. Establish key metric frameworks to track commercial and CMS risk contract performance.
Bluestonedelivers outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. The organization's multidisciplinary care teams collaborate with patients, families, and other healthcare providers to deliver preventative, proactive, and tailored care. Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations, and 41% fewer hospital readmissions compared to similar patients. Care teams operate across Minnesota, Wisconsin, and Florida, with corporate offices in Stillwater, Minnesota, and Tampa, Florida. Bluestone has been named to the Star Tribune's Top Workplace list for 14 consecutive years and achieved Top Workplace USA recognition 2021-2026. In 2022, Bluestone's ACO was the best-performing ACO in the country as measured by overall savings per Medicare beneficiary.
**Requirements:**
- 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
- Deep mastery of ACO benchmark calculations, CMS-HCC risk adjustment methodology, shared savings attribution logic, and value-based contract modeling
- Exceptional ability to influence outcomes through collaborative handoffs across informatics, finance, and primary care operations without requiring direct operational staff build-out
- Bachelor's degree in Finance, Healthcare Administration, Business, or related quantitative field required; Master's (MBA, MHA, MS) preferred
