ACO Partner Performance Manager

Provider Partners is hiring an ACO Partner Performance Manager to serve as the primary performance and relationship resource for assigned partner practices and facility operators participating in ACO REACH/LEAD and MSSP. The role translates performance data into improvement strategies, coaches partners, and coordinates cross-functional teams to support better ACO outcomes.

Responsibilities

Serve as the primary day-to-day contact and performance advisor for assigned partner practices and facility operators, building relationships with clinical, administrative, and executive leaders

Understand each partner’s organizational structure, patient population, care settings, operating model, priorities, and barriers; tailor engagement and improvement strategies accordingly

Establish shared performance expectations, define partner and ACO responsibilities, and maintain a consistent cadence of communication, follow-up, and escalation

Identify partner concerns early, facilitate resolution, and escalate significant performance risks or operational barriers with clear recommendations

Analyze and synthesize claims, financial, utilization, beneficiary attribution and alignment, quality, clinical, coding, and risk adjustment data at the ACO, operator, facility, practice, and practitioner levels

Evaluate total cost of care, per-beneficiary-per-month (PBPM) spending, hospital admissions and readmissions, emergency department use, post-acute utilization, and other relevant performance indicators

Compare results with applicable benchmarks, targets, and prior periods; identify variation, emerging trends, and the partners or patient populations requiring focused intervention

Validate findings with Analytics and clinical teams, accounting for claims lag, data completeness, population changes, and other factors affecting interpretation

Translate findings into prioritized performance improvement plans with defined actions, accountable owners, milestones, and measurable outcomes

Monitor month-over-month and year-to-date progress, assess the impact of interventions, and revise plans when results fall short of established goals

Coach practice and facility operator leaders on how clinical workflows, care coordination, utilization management, documentation, and operational execution affect ACO performance

Use performance reviews and workflow assessments to identify root causes, distinguish data issues from execution gaps, and agree on practical improvement priorities

Guide partners in implementing strategies to reduce avoidable acute care use, improve transitions of care, close quality gaps, and strengthen coordination across physicians, facility staff, and care management teams

Adapt coaching to each partner’s readiness, staffing, resources, and care setting, including skilled nursing and long-term care environments as applicable

Provide constructive feedback, navigate difficult performance conversations, and build commitment to change while maintaining productive partner relationships

Follow through on agreed actions, evaluate whether changes are adopted and sustained, and share successful practices across the partner network

Develop and manage partner engagement plans, meeting schedules, agendas, presentations, minutes, action items, and follow-up activities

Lead structured performance reviews that clearly communicate results, explain the implications for ACO success, and secure agreement on next steps

Develop and deliver training through live meetings, virtual sessions, webinars, and e-learning platforms; create presentations, job aids, and practical workflow guidance

Facilitate Practice and Partner Roundtables and Quarterly ACO Partner Engagement Reviews, promoting peer learning and collaboration among practices and operators

Tailor communications for executive, clinical, and operational audiences and assess education effectiveness through partner adoption and performance outcomes

Partner with Clinical Operations and Quality teams to implement clinical initiatives, improve care coordination, support quality measure performance, and address gaps in care

Collaborate with Coding and provider education teams to support accurate, clinically substantiated diagnosis documentation, appropriate HCC capture, and compliant risk adjustment practices

Use practitioner and facility performance findings to target education and improvement opportunities and coordinate specialist support as needed

Support medical record review and quality reporting activities by coordinating partner access, follow-up, and corrective actions with the responsible teams

Apply working knowledge of ACO REACH/LEAD and MSSP to help partners understand program objectives, performance drivers, and their operational responsibilities

Coordinate with program and compliance teams to communicate applicable CMS requirements and program changes and help partners execute required activities on time

Support beneficiary attribution and alignment review, partner roster accuracy, beneficiary identification and flagging workflows, and other program processes as applicable

Coordinate with Revenue Cycle Management (RCM) to address billing workflows and operational issues affecting partner performance

Liaise with Physician Contracting and Strategic Partner Management on provider additions, practice and facility changes, operator expansion, and participation needs

Monitor relevant practitioner-level Quality Payment Program (QPP) activities with the responsible internal teams and maintain recurring partner and leadership reporting

Preferred

three to five years or more of relevant experience

Bachelor's degree in healthcare administration, business, nursing, public health, or a related field, or an equivalent combination of education and relevant experience

Experience working with skilled nursing facilities, long-term care operators, multi-site practices, and beneficiaries with complex medical needs

Experience leading organizational change, provider education, workflow improvement, and executive-level performance reviews

Familiarity with business intelligence platforms, electronic health records, care management systems, and population health analytics

Healthcare Administration

Nursing

Public Health

Skilled Nursing Facilities

Long-Term Care Operations

Multi-Site Practices

Complex Medical Needs

Provider Education

Workflow Improvement

Executive Performance Reviews

Business Intelligence Platforms

Electronic Health Records

Care Management Systems

Population Health Analytics

Organizational Change Leadership

Company

Tech-enabled value-based care solutions for long-term care

Columbia, Maryland, USA

https://partnerwithpphp.com/

Founded in 2016

201-500 employees

Qualifications

At least three years of direct experience supporting ACO REACH and MSSP performance, partner engagement, or operations

Demonstrated expertise coaching partner practices and partner facility operators to measurable improvements in financial, utilization, quality, clinical, or operational performance

Strong analytical skills, including experience interpreting Medicare claims, financial and utilization reports, quality dashboards, attribution and alignment data, and risk adjustment information

Strong written and verbal communication, presentation, facilitation, and interpersonal skills, with the ability to explain complex findings and influence action across clinical and operational audiences

Working knowledge of value-based care, total cost of care, ACO performance benchmarks, beneficiary attribution and alignment, HCC risk adjustment, and quality improvement

Proficiency with Microsoft Excel, PowerPoint, and healthcare reporting or analytics tools; ability to organize data, identify trends, and prepare clear performance presentations

Experience developing and executing improvement plans, coordinating cross-functional work, and managing multiple partner relationships and deadlines

Ability to work independently, exercise sound judgment, handle sensitive information appropriately, and hold partners accountable while sustaining trust

Three to five years or more of relevant experience

Bachelor's degree in healthcare administration, business, nursing, public health, or a related field, or an equivalent combination of education and relevant experience

Experience working with skilled nursing facilities, long-term care operators, multi-site practices, and beneficiaries with complex medical needs

Experience leading organizational change, provider education, workflow improvement, and executive-level performance reviews

Familiarity with business intelligence platforms, electronic health records, care management systems, and population health analytics

Required skills

Represents the skills you have, click on the tags, ACO REACH, Medicare Shared Savings Program (MSSP), Medicare Claims Analysis, Value-Based Care, Total Cost of Care, ACO Performance Benchmarks, Beneficiary Attribution and Alignment, HCC Risk Adjustment, Microsoft PowerPoint, Skilled Nursing and Long-Term Care, Partner Coaching

Preferred skills

three to five years or more of relevant experience, Tech-enabled value-based care solutions for long-term care., Columbia, Maryland, USA, https://partnerwithpphp.com, Growth Stage, Leadership Team, Keith Persinger, CFO & COO, Company data provided by, AI Tools, Customize Your Resume, Maximize your interview chances, Build Cover Letter, Make your application stand out, Analyze How Well You Fit, Understand your strength & weakness

Experience

3+ years