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Director Aco Jobs (NOW HIRING)

ACO

Distribution Material Handler

Mentor, OH · On-site

$15 - $18/hr

ACO, Inc. Distribution Material Handler Position Description Distribution Material Handler Summary ... Strap, stretch wrap, bubble wrap or box shipment, as directed * Maintains inventory by identifying ...

Joint Commission

Director Product Delivery

Villa Park, IL · On-site

$107K - $143K/yr

The Director of Product Delivery of Accreditation and Certification Operations (ACO) is a vital member of the leadership team in ACO and reports either to the National Leader or to the Executive ...

Vytalize Health

Regional Medical Officer

Work with Market Medical Directors to ensure ACO practice compliance with Vytal Signs gates including, but not limited to, EMR access, EMR integration, use of Vytalize VBC tools, and participation in ...

Joint Commission

Director Product Delivery

Villa Park, IL · On-site

$107K - $143K/yr

Overview The Director of Product Delivery of Accreditation and Certification Operations (ACO) is a vital member of the leadership team in ACO and reports either to the National Leader or to the ...

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Director Aco information

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$47.5K

$90K

$138K

How much do director aco jobs pay per year?

As of Aug 12, 2026, the average yearly pay for director aco in the United States is $89,990.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $103,000.00 per year, depending on experience, location, and employer.

What is the difference between Director Aco vs Director of Care?

AspectDirector AcoDirector of Care
CredentialsHealthcare management certifications, clinical backgroundHealthcare management certifications, clinical background
Work EnvironmentHealthcare organizations, hospitals, clinicsHealthcare organizations, hospitals, clinics
Employer & IndustryHealth systems, insurance companies, healthcare providersHospitals, nursing homes, outpatient facilities
Search & Comparison IntentRoles overseeing care coordination and administrationRoles managing patient care and clinical staff

The main difference between a Director Aco and a Director of Care lies in their focus areas. A Director Aco typically oversees care coordination, population health, and administrative functions within healthcare organizations, often working with insurance and health systems. In contrast, a Director of Care primarily manages clinical staff and patient care services directly within hospitals or care facilities. Both roles require healthcare management credentials and operate in similar environments, but their core responsibilities differ based on administrative versus clinical focus.

What are some common challenges faced by a director of Account Coordination (ACO) and how can they be addressed?

A Director of Account Coordination often manages multiple client accounts and cross-functional teams, which can lead to challenges such as balancing competing priorities, maintaining clear communication, and ensuring consistent client satisfaction. To address these challenges, effective time management, setting clear expectations with both clients and internal teams, and implementing structured processes for project tracking are crucial. Building strong relationships with team members and clients can also help proactively identify and resolve potential issues, ensuring smooth operations and successful account outcomes.

What are the key skills and qualifications needed to thrive as a director of Accountable Care Organization (ACO), and why are they important?

To thrive as a Director of ACO, you need in-depth knowledge of healthcare administration, value-based care models, and population health management, typically supported by a relevant advanced degree and experience in healthcare leadership. Familiarity with health information systems, data analytics platforms, and regulatory compliance standards like CMS requirements is essential. Exceptional leadership, strategic thinking, and stakeholder communication skills help drive collaboration and organizational alignment. These skills and qualities are vital for improving patient outcomes, ensuring regulatory compliance, and achieving financial sustainability in a complex healthcare environment.

What does a director of ACO do?

A Director of ACO (Accountable Care Organization) oversees the operations, strategy, and performance of an ACO, which is a healthcare organization focused on coordinated care to improve patient outcomes and reduce costs. This role typically involves managing interdisciplinary teams, ensuring compliance with healthcare regulations, developing care models, and building partnerships with providers and payers. The Director is responsible for meeting quality benchmarks, optimizing resource utilization, and implementing initiatives that enhance patient care within the ACO framework.
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Director Aco jobs near you
Infographic showing various Director Aco job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $89,990 per year, or $43.3 per hour.

Director of Value Based Care Regulatory Compliance

agilon health

Remote

Full-time

Posted 9 days ago

Job description

Company:
AHI agilon health, inc.
Job Posting Location:
Remote - USA
Job Title:
Director of Value Based Care Regulatory Compliance
Job Description:
Essential Job Functions:
Markets Compliance for Medicare Advantage and ACO Programs
  • Lead the markets compliance program for Medicare Advantage and ACO programs, including ACO LEAD, ACO REACH, and MSSP regulatory and operational requirements, ensuring compliant program design and execution.
  • Develop and implement policies, procedures, and training specific to markets compliance program operations.
  • Serve as the primary compliance liaison to physician partner groups, medical directors, and market leadership to drive compliance awareness, education, and accountability.
  • Oversee the coordination with health plans and downstream partners on compliance program requirements, audit activity, and corrective action.
  • Monitor and communicate CMS risk adjustment policy developments, enforcement trends, and program-specific requirements across Medicare Advantage and ACO programs.
  • Identify compliance gaps across markets and enterprise operations; communicate risks and remediation recommendations to the CCO, senior leadership and impacted business areas.
  • Collaborate with Legal to confirm ACO compliance obligations are met across applicable CMS direct contracting programs, including ACO REACH, MSSP, and ACO LEAD.

Risk Adjustment Oversight for Burden of Illness (BOI) and Clinical Pathways
  • Oversee risk adjustment compliance, including regulatory alignment for the Pre-Member Record Review (PMRR) and BOI program, coding audit protocols, and OIG high-risk condition monitoring.
  • Ensure risk adjustment program activities are clinically grounded, well-documented, and audit-ready in alignment with CMS and OIG expectations.
  • Provide regulatory compliance support for clinical pathways, partnering with the Clinical team to ensure program design and execution are compliant, defensible, and aligned with CMS and OIG requirements.
  • Collaborate with Clinical, Legal, and Compliance leadership to identify and mitigate regulatory risk in clinical program design and implementation.
  • Collaborate with Legal to assess the compliance and regulatory standing of clinical pathway vendors, including review of vendor arrangements, program design, and adherence to applicable CMS, OIG, and fraud and abuse requirements.

Regulatory Change Management
  • Lead regulatory change management, tracking CMS guidance, OIG updates, and federal and state regulatory developments affecting managed care, ACO programs, and value-based care.
  • Assess regulatory and enforcement developments (e.g., FCA settlements, DOJ/OIG actions) and translate findings into actionable compliance guidance for the organization.
  • Maintain current knowledge of OIG compliance requirements for MCOs, FDRs, health plans, and ACO participants.
  • Develop and present compliance metrics, dashboards, and reports for senior leadership and the internal Compliance Committee.

Required Qualifications:
Education/Licensure:
  • Bachelor's degree in healthcare, business or related field required
  • Master's degree preferred
  • CHC preferred; CPC or equivalent risk adjustment coding credential a plus

Minimum Experience:
  • 7+ years healthcare compliance experience with significant focus on risk adjustment, regulatory affairs, or managed care compliance.
  • 5+ years compliance auditing and monitoring experience, including audit program management and team oversight.
  • 5+ years supervisory experience managing compliance professionals.
  • Substantial experience with CMS program requirements across Medicare Advantage risk adjustment and ACO programs.
  • Experience at a health plan, health system, provider group or ACO strongly preferred
  • Background in managed care operation, risk-based contracting or Medicare Advantage compliance preferred

Skills and Abilities:
  • Deep knowledge of OIG compliance requirements for MCOs, FDRs, and ACO participants, including audit expectations and high-risk condition monitoring.
  • Expertise with risk adjustment coding, RADV audit processes and supplemental data validation
  • Skilled in regulatory change management, including monitoring, analyzing and communicating CMS and OIG guidance and updates
  • Strong capability with preparing and delivering board and senior leadership level compliance metrics and reports
  • Knowledge of value-based care, Medicare Advantage, fraud and abuse laws, and ACO REACH and MSSP programs.
  • Demonstrated leadership, sound independent judgment and the ability to operate effectively in a matrixed organization
  • Language Skills: Strong written and verbal communication skills to advise multiple internal clients and external partners in a fast-paced, high-growth environment.
  • Reasoning Ability: Ability to apply legal reasoning and sound judgment to complex, novel regulatory and transactional problems with incomplete information.
  • Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint); familiarity with CLM, matter management, or legal operations platforms preferred.

Protect yourself: agilon health will never send unsolicited job offers or request payments or financial information. Such communications are fraudulent. Learn how to spot them
Location:
Remote - OH
Pay Range:
$153,000.00 - $191,300.00
Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications.

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