Lead, ACO Performance [Remote]

About Stellar Health:

Historically, US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures, rather than the quality of health outcomes.

At Stellar Health, we help primary care providers put patient health first. Our platform - a mix of technology, people, and analytics - supports providers at the point of care, delivering real-time patient information, activating practice staff, and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App, our web-based, point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete, and Payors save money in reduced healthcare costs along the way.

Stellar is a US-based Health-tech backed by Top VCs ( General Atlantic, Point72, & Primary Venture Partners)​​ with an established product & proven operating model. We’ve shown that we make a real difference for physician practices and their patients.

About the position:

Stellar's Nova business bears total cost of care risk on behalf of a growing portfolio of ACO and Payor risk contracts. The Nova Performance function owns the aggregate results of that risk — quality, total cost of care, and shared savings — and partners with Provider Success to translate network-wide performance goals into action at the provider level.

The Lead, ACO Performance is the general manager and performance owner for two of Stellar's most important Medicare ACO relationships: our new participation in CMS's LEAD (Long-term Enhanced ACO Design) Model, the successor to ACO REACH, and our partnership with the affiliated provider network of an academic health system.

How you'll make an impact:

• Own ACO Performance End to End: Serve as the general manager of two CMS ACO accounts, accountable for aggregate quality performance, total cost of care, and shared savings/risk results across both programs.

• Set Targets & Define Success: Define benchmarks and “definition of success” for each ACO in partnership with Analytics, Med Econ and functional leadership — translating what's feasible into concrete, trackable operational targets.

• Lead Governance & Executive Reporting: Own the agenda, materials, and facilitation for steering committee and operating reviews with each ACO's leadership, and build the executive reporting cadence used to track progress internally.

• Drive Performance Analysis: Analyze quality, claims, and total cost of care data to identify drivers of under- and over-performance, and translate findings into clear, actionable recommendations with an explicit “so what.”

• Partner on Provider-Level Execution: Work closely with Provider Success counterparts assigned to each ACO's network to ensure every identified performance gap has a data-driven action plan, and that plans are executed and tracked to completion.

• Own the SVU & Incentive Strategy: Recommend and refine the SVU menu and incentive design for each ACO to optimize outcomes for Stellar, the ACO, and its providers.

• Navigate Program & Model Requirements: Stay current on LEAD Model program requirements and milestones (e.g., benchmarking, risk track elections, reporting obligations) and coordinate internally to ensure Stellar and its ACO partners stay ahead of them.

• Escalate & Problem-Solve: Proactively identify the greatest risks to each ACO's performance, and escalate to the VP, Nova Performance with a clear, well-reasoned plan rather than letting underperformance linger unaddressed.

• Contribute to the Broader Function: Share best practices and lessons learned from both ACOs across the Nova Performance team, and help build the playbooks and tooling that let performance management scale as Stellar's ACO portfolio grows.

What you'll bring:

• 4+ years of experience in healthcare operations, value-based care, ACO/managed care, or account management within a health-tech or provider services environment.

• Knowledge of Medicare total cost of care risk models — MSSP, ACO REACH, the new LEAD Model, or similar — strongly preferred.

• A track record of owning a book of business or a set of accounts end to end, operating largely autonomously and delivering measurable outcomes with limited day-to-day oversight.

• Comfort leading executive-facing meetings (steering committees, operating reviews) and communicating performance and risk clearly to both internal leadership and external partners.

• Strong analytical skills, including fluency in Excel and BI tools, and the ability to turn performance data into clear insight and a concrete “so what.”

• The ability to work independently against ambiguous problems, set your own short-term priorities, and proactively flag when you need input on longer-term direction.

• Excellent written and verbal communication skills, with the ability to build trust quickly across internal cross-functional teams and external stakeholders, from operational staff to health system executives.

• A collaborative mindset — you're comfortable driving outcomes through influence and partnership with other functions, rather than direct authority alone.

Perks & Benefits:

Stellar offers a carefully curated selection of wellness benefits and perks to our employees:

• Medical, Dental and Vision Benefits

• Flexible PTO

• Universal Paid Family and Caregiver Leave

• Wellhub+ Gym Memberships

• Pre-tax commuter benefits, HA, FSA plans

• Company sponsored One Medical memberships and Citibike memberships

• Medical Travel Benefits

• JOON, a flexible lifestyle spending account that gives our team a monthly stipend to spend on what matters most to them

• Stock Options & a 401k matching program

• A broad calendar of company sponsored social events that for our in-office and remote employees

• Company sponsored lunch for all NY HQ employees

Diversity is the key to our success . Stellar Health is an equal opportunity employer and we are open to all qualified applicants regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, veteran status, or any other legally protected status.

We believe that diverse teams -and the different identities, cultures, and life experiences our team members bring to the table- enable us to create amazing products, find creative solutions to interesting problems, and build an inclusive working environment.

At Stellar Health, your privacy and security as a job seeker is a priority no matter where you are in the interview process . As recruiting scams have become more prevalent, please take note of the following practices to ensure the legitimacy of any interaction with our team.

• Please note that any communication from our recruiters and hiring managers at Stellar Health about a job opportunity will only be made by a Stellar Health employee with an @ stellar.health email address.

• Stellar Health does not utilize third-party agencies for recruitment services and does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information.

• We will not ask you to provide personal or financial information, including, but not limited to, your social security number, online account passwords, credit card numbers, passport information, and other related banking information until we begin onboarding activities, which will be coordinated by a member of the Stellar Health People Ops Team with an @ stellar.health email address.

If you are ever unsure whether you are in contact with a legitimate Stellar Health teammate, please contact View email address on jobs.ashbyhq.com. If you believe you've been a victim of a phishing attack, please mark the communication as “spam” and immediately report it by contacting the U.S. Federal Trade Commission .