Director, VBC Strategy & Operations

Director, VBC Strategy & Operations at Duet

Duet is on a mission to transform primary care by empowering nurse practitioners (NPs) to own and operate their practices. By providing NPs with tailored products and services within a supportive setting, Duet is building the nation's largest network of NP-owned practices, driving better outcomes for patients and communities.

Role Overview

The Director, VBC Strategy & Operations will oversee Duet's Medicare ACO programs and value-based contract performance across our growing national network of NP-owned practices. This role sits at the intersection of population health strategy, payer performance, clinical transformation, and data-driven execution.

This is a highly hands-on leadership role within a fast-growing startup environment. The Director will manage and mentor a small but impactful team (including analysts and practice transformation specialists), while also leaning into individual contributor work as the team scales. You will partner closely with practices, payers, product, and data teams to design, execute, and scale population health programs nationally.

This is an exceptional opportunity to help build Duet's value-based care engine as we scale nationally, shape Medicare ACO operations, and directly influence outcomes for patients and clinicians.

Key Responsibilities

• Medicare ACO Leadership

  • Own day-to-day oversight and performance of Duet's Medicare ACO programs.

  • Drive quality, utilization, and financial performance across attributed populations.

  • Partner with internal and external stakeholders to ensure compliance with CMS requirements and ACO operational standards.

• Value-Based Contract Performance

  • Lead performance management across Medicaid, commercial and Medicare Advantage value-based care contracts.

  • Monitor, analyze, and communicate contract performance trends, risks, and opportunities to practices and the Duet leadership team.

  • Develop and execute intervention strategies to improve outcomes, cost performance, and shared savings results.

• Practice & Population Health Strategy

  • Partner directly with NP-owned primary care practices to support practice transformation, care model adoption, and population health workflows.

  • Translate performance data into actionable insights for clinicians and practice teams.

  • Support rollout and optimization of population health initiatives (e.g., risk stratification, care gap closure, high-risk patient programs).

• Data, Analytics & Product Collaboration

  • Work closely with data and product teams to define metrics, dashboards, and reporting that support operational and clinical decision-making.

  • Use data to identify performance gaps, test solutions, and iterate quickly.

  • Help inform product roadmap decisions based on frontline practice and payer insights.

• Team Leadership & Development

  • Manage, mentor, and develop a team including analysts and practice transformation specialists.

  • Set clear priorities, workflows, and performance expectations in a fast-paced, evolving environment.

  • Balance people leadership with hands-on execution and problem-solving.

• Cross-Functional & Payer Partnership

  • Serve as a key internal partner across operations, product, data, clinical, and finance teams.

  • Work directly with payers and external partners to support contract success and program evolution.

  • Contribute to scaling Duet's value-based care model nationally as the practice network grows.

Qualifications

• 7+ years of experience in value-based care, population health, Medicare ACOs, or risk-based contracting.

• Direct experience managing or operating Medicare ACO programs and/or Medicare risk arrangements.

• Strong understanding of VBC performance drivers, quality measures, utilization management, and shared savings models.

• Experience working closely with primary care practices and clinical teams.

• Demonstrated ability to lead and develop teams

• High comfort level working with data, analytics, and performance reporting; able to translate data into action.

• Experience collaborating with product and data teams in a healthcare or health tech environment.

• Startup or high-growth environment experience strongly preferred.

• Excellent communication skills and ability to influence across clinical, technical, and payer stakeholders.

• Bachelor's degree required; advanced degree (MPH, MBA, RN/NP, or similar) a plus.

This role is hybrid out of NYC.

Salary range: $170K-$190k + equity