Manager, ACO Strategy & Operations

CVS Health; United States; On-site; USD 110,000 - 170,000; Full time

Benefits offered by this job

Paid vacation & sick time

401K match

Health insurance

Vision and dental benefits

Leadership development & continuing ed

Job summary

Oak Street Health, part of CVS Health, seeks a Manager, ACO Strategy & Operations to lead value-based care initiatives and align clinical execution with financial performance across CMS programs. You will manage relationships with CMS/CMMI, guide program implementations, analyze financial implications, and drive improvements in workflows, governance, and provider engagement.

The ideal candidate brings 5+ years in value-based care, strong leadership, and proficiency in Excel, PowerPoint, and data

Qualifications

• Bachelor's degree required.
• 5+ years of direct experience in value-based care, with REACH and MSSP ACO knowledge.
• Excellent communication, facilitation, and interpersonal skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Mastery of Excel, Word, PowerPoint and Google Suite.

Responsibilities

• Serve as organizational leader for Oak Street Health's relationships with CMS and CMMI.
• Lead CMS and CMMI program implementations.
• Project manage and own operational issues to resolution.
• Identify business requirements for system implementation and oversee vendor activities.
• Analyze financial implications of CMS/CMMI programs and communicate risks to senior leadership.
• Lead value-based contract negotiations and understand key contract terms.

Skills

Communication

Project management

Analytical skills

Problem solving

Leadership

Cross-functional collaboration

Education

Bachelor's degree

Master's degree (preferred)

Tools

Microsoft Excel

Microsoft Word

PowerPoint

Google Suite

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritise safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Job Description: Manager, ACO Strategy & Operations

Oak Street Health®, a part of CVS Health, helps older adults stay healthier and live fuller lives through our 230 centres across 27 states. Our value‑based care model helps us consistently deliver better patient experiences and outcomes.

As a Manager, ACO Strategy & Operations you will play a critical role in supporting our Oak Street Health patients, providers and business b y serving as a critical leader in advancing Oak Street Health's value‑based care strategy. This role owns 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 our clinical teams have the insights, workflows, and operational support necessary to maximise shared savings. You will approach federal government relationships with the mindset of a "business owner," building and nurturing vital connections with CMS and CMMI leadership teams. The ideal candidate is a self‑directed, data‑driven leader who brings innovative ideas and exceptional project management skills to a fast‑paced environment.

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 programmes, 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, programme 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 programmes.
• Expertise in CMS and CMMI value‑based programmes.
• Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent.
• Excellent problem‑solving and analytical skills combined with impeccable business judgement.
• 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 programmes.
• U.S. work authorisation.
• Someone who embodies being "Oaky," which includes radiating positive energy, assuming good intentions, creating an unmatched patient experience, driving clinical excellence, taking ownership and delivering results, and being relentlessly determined.

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.

Oak Street Health 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 ed