Manager, ACO Strategy & Operations

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

As a Manager, ACO Strategy & Operations at Oak Street Health, a part of CVS Health, you will play a critical role in supporting patients, providers, and business by serving as a leader in advancing Oak Street Health's value-based care strategy.

Role Summary You will own the operational, financial, and regulatory success of our ACO model, including ACO REACH, LEAD, and MSSP. You will act as the primary bridge between clinical execution and strategic financial performance, ensuring that clinical teams have the insights, workflows, and operational support necessary to maximize shared savings.

Key Responsibilities

ACO Operations & Strategy

• Serve as the organisational leader for Oak Street Health's relationships with CMS and CMMI, overseeing contracting, contract implementation, operations, and ongoing management of the partnership.
• Lead Government CMS and CMMI program implementations independently.
• Project manage and own operational issues to resolution, while proactively developing and sharing ideas to improve Oak Street Health workflows.
• Support delegated activities as required, including the identification of business requirements for system implementation and the oversight of vendor-driven activities.

Financial & Quality Performance

• Analyse the financial implications of existing and potential future CMS and CMMI value-based programs, quantifying and communicating organisational risk to senior leadership.
• Proactively and professionally lead value-based contract negotiations, utilising a strong understanding of key contract terms and their impact on Oak Street's financial and operational performance.
• Develop a deep understanding of operations and workflows across the organisation, including financial, data, and clinical quality, and their key intersection points.

Compliance & Reporting

• Ensure strict, continuous compliance with all CMS regulations, program rules, and data submission requirements for MSSP, ACO REACH, and/or LEAD.
• Manage the annual quality reporting process, maintaining impeccable documentation and audit readiness across all participating TINs.

Cross-Functional Leadership & Provider Engagement

• Build and nurture strategic relationships with CMS and CMMI leadership teams.
• Collaborate with other internal teams to drive strategic initiatives and resolve outstanding issues.
• Lead conversations proactively and strategically with executives and field leadership regarding value-add activities and initiatives.

Required Qualifications

• Bachelor's degree.
• 5+ years of direct experience working in value-based care, with strong knowledge and past management of REACH and MSSP ACO programs.
• Expertise in CMS and CMMI value-based programs.
• Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent.
• Excellent problem-solving and analytical skills combined with impeccable business judgment.
• Ability to independently pursue and implement solutions to complex problems and manage multiple priorities in a fast-paced environment.
• Mastery of Microsoft Excel, Word, PowerPoint, and Google Suite Programs.
• U.S. work authorisation.

Preferred Qualifications

• Master's degree in Healthcare Administration (MHA), Public Health (MPH), Business Administration (MBA), or a related field.
• Hands-on experience utilising population health management platforms and advanced EMR integration.

Benefits

• A mission-focused career that impacts change and measurably improves health outcomes for Medicare patients.
• Paid vacation, sick time, and investment/retirement 401K match options.
• Health insurance, vision, and dental benefits.
• Opportunities for leadership development and continuing education stipends.
• New centres, flexible work environments, and opportunities for high levels of responsibility and rapid advancement.