Associate Director of Population Health Performance
Western Washington Medical Group, Everett, WA, United States
Western Washington Medical Group (WWMG) is a rapidly growing, independent, multispecialty group committed to provider‑led healthcare delivery. We believe local, independent providers are best positioned to deliver superior care to their communities. At WWMG, decisions aren\'t made by distant corporate systems—they are made by providers and patients together. We offer a collaborative, supportive, and intellectually stimulating work culture dedicated to personalized, state‑of‑the‑art care.
We are on an accelerated journey into value‑based care. We seek an experienced leader to build the performance infrastructure that will drive our success in delegated risk arrangements and population health management.
Role Description The Associate Director of Population Health Performance is a hands‑on, strategic leader responsible for building and executing the foundation for value‑based care performance at WWMG. This role oversees risk adjustment, quality measures, and cost of care performance in delegated Medicare Advantage risk contracts, with expansion into MSSP and commercial risk arrangements.
This is not a traditional management position—we need a
doer
who can derive actionable insights from complex data, build processes from the ground up, and directly drive interventions that deliver measurable results. The ideal candidate has medical group experience and has delivered performance improvements at a scale of tens of millions of dollars in shared savings or quality incentives.
You will be the architect of our performance infrastructure, establishing data‑driven workflows, analytics capabilities, and operational processes that enable our multispecialty group to succeed in value‑based care.
Work Arrangement In‑office requirement in Everett, WA, preferred; part‑time work‑from‑home options may be considered.
Key Responsibilities Performance Oversight & Execution
Drive risk adjustment performance including CMS‑HCC and Rx‑HCC coding accuracy, RAF score optimization, and suspect condition resolution
Oversee quality measure performance across HEDIS, Medicare Stars, eCQMs, and MIPS metrics
Manage total cost of care initiatives including utilization management, care coordination, and high‑cost patient interventions
Execute delegated Medicare Advantage risk contract and MSSP requirements and ensure all performance benchmarks are achieved
Expand value‑based care capabilities into commercial risk arrangements
Data‑Driven Insight & Action
Proactively analyze complex datasets to identify performance gaps, coding opportunities, and care gaps requiring intervention
Translate data into specific, actionable recommendations for clinical teams and leadership
Build and maintain performance dashboards and reporting infrastructure
Conduct root cause analysis on underperforming metrics and implement targeted solutions
Partner with Data Analytics team to develop predictive models for risk stratification and intervention prioritization
Infrastructure & Process Development
Establish data workflows, documentation standards, and operational processes for value‑based care performance
Build concurrent and retrospective chart review programs for risk adjustment optimization
Design and implement quality improvement interventions with measurable outcomes
Create care gap closure workflows and outreach protocols
Develop audit‑ready documentation and compliance frameworks for CMS and payer requirements
Manage health plan contracts including performance metric tracking, financial reconciliation, and benchmark analysis
Conduct PMPM/PMPY financial modeling and variance analysis
Lead contract negotiations and performance discussions with delegated risk partners
Monitor MLR, shared savings, and quality incentive opportunities
Provide financial impact analysis for strategic value‑based care decisions
Build relationships with payer partners and external stakeholders
Required Qualifications Experience
Minimum 7 years of experience in value‑based care delivery within a medical group setting (physician group, IPA, or multispecialty clinic)
Proven track record of delivering performance improvements at a scale of
$10 million+
in annual shared savings, quality incentives, or risk‑adjusted revenue
Direct experience managing
delegated Medicare Advantage risk
contracts with accountability for risk adjustment, quality, and cost outcomes
Demonstrated success building performance infrastructure and processes in a data‑first environment
Hands‑on operator experience, not solely strategic management
Technical Skills
Deep expertise in CMS‑HCC and Rx‑HCC risk adjustment methodologies, including coding guidelines, RAF score calculation, and recapture strategies
Comprehensive knowledge of
quality measures
including HEDIS, Medicare Stars ratings, eCQMs, and MIPS
Strong understanding of
cost of care management
including utilization patterns, network steerage, and care coordination models
Advanced proficiency in
data analysis
with ability to work in Excel, SQL, or analytics platforms to derive insights
Experience with
EMR systems
(Epic, Cerner, or comparable) for clinical data extraction and documentation review
Financial modeling capabilities for PMPM analysis, benchmark calculations, and contract performance evaluation
Core Competencies
Analytical mindset : Natural pattern recognition, comfort with ambiguity, and ability to translate complex data into clear recommendations
Process orientation : Systematic approach to building scalable workflows and operational standards
Proactive execution : Self‑starter who identifies problems and implements solutions without waiting for direction
Communication : Ability to influence clinical and operational stakeholders through data‑driven storytelling
Healthcare compliance : Understanding of HIPAA, CMS regulations, and audit requirements
Education
Bachelor's degree in Healthcare Administration, Public Health, Data Analytics, Business, or related field
Master's degree preferred (MHA, MMM, MBA, or similar)
Preferred Qualifications
Experience with MSSP (ACO REACH or LEAD models) and commercial risk contracts
Background in multispecialty group transformation from fee‑for‑service to value‑based care
Familiarity with population health technology platforms (Arcadia, HealthEC, Innovaccer, or comparable)
Experience with coding education and provider engagement strategies
Knowledge of social determinants of health (SDOH) and health equity initiatives
Clinical background (RN, MD, or allied health professional) with transition to analytics/operations
Schedule Monday through Friday, standard business hours (flexibility for occasional early/late meetings)
Location In office preferred, Everett, WA. Part‑time work from home may be considered.
Work Modality Primarily computer‑based work using phone, email, EMR systems, and analytical software.
Physical Demands Ability to remain sedentary for extended periods; intermittent standing, walking, and lifting up to 25 lbs.; reasonable accommodations available for individuals with disabilities.
Competitive annual salary range of $130,000 - $150,000, with significant performance‑based incentive opportunity tied to value‑based care results. Comprehensive benefits package including medical, dental, vision, retirement plan with employer contribution, paid time off, and continuing education support.
#J-18808-Ljbffr
We are on an accelerated journey into value‑based care. We seek an experienced leader to build the performance infrastructure that will drive our success in delegated risk arrangements and population health management.
Role Description The Associate Director of Population Health Performance is a hands‑on, strategic leader responsible for building and executing the foundation for value‑based care performance at WWMG. This role oversees risk adjustment, quality measures, and cost of care performance in delegated Medicare Advantage risk contracts, with expansion into MSSP and commercial risk arrangements.
This is not a traditional management position—we need a
doer
who can derive actionable insights from complex data, build processes from the ground up, and directly drive interventions that deliver measurable results. The ideal candidate has medical group experience and has delivered performance improvements at a scale of tens of millions of dollars in shared savings or quality incentives.
You will be the architect of our performance infrastructure, establishing data‑driven workflows, analytics capabilities, and operational processes that enable our multispecialty group to succeed in value‑based care.
Work Arrangement In‑office requirement in Everett, WA, preferred; part‑time work‑from‑home options may be considered.
Key Responsibilities Performance Oversight & Execution
Drive risk adjustment performance including CMS‑HCC and Rx‑HCC coding accuracy, RAF score optimization, and suspect condition resolution
Oversee quality measure performance across HEDIS, Medicare Stars, eCQMs, and MIPS metrics
Manage total cost of care initiatives including utilization management, care coordination, and high‑cost patient interventions
Execute delegated Medicare Advantage risk contract and MSSP requirements and ensure all performance benchmarks are achieved
Expand value‑based care capabilities into commercial risk arrangements
Data‑Driven Insight & Action
Proactively analyze complex datasets to identify performance gaps, coding opportunities, and care gaps requiring intervention
Translate data into specific, actionable recommendations for clinical teams and leadership
Build and maintain performance dashboards and reporting infrastructure
Conduct root cause analysis on underperforming metrics and implement targeted solutions
Partner with Data Analytics team to develop predictive models for risk stratification and intervention prioritization
Infrastructure & Process Development
Establish data workflows, documentation standards, and operational processes for value‑based care performance
Build concurrent and retrospective chart review programs for risk adjustment optimization
Design and implement quality improvement interventions with measurable outcomes
Create care gap closure workflows and outreach protocols
Develop audit‑ready documentation and compliance frameworks for CMS and payer requirements
Manage health plan contracts including performance metric tracking, financial reconciliation, and benchmark analysis
Conduct PMPM/PMPY financial modeling and variance analysis
Lead contract negotiations and performance discussions with delegated risk partners
Monitor MLR, shared savings, and quality incentive opportunities
Provide financial impact analysis for strategic value‑based care decisions
Build relationships with payer partners and external stakeholders
Required Qualifications Experience
Minimum 7 years of experience in value‑based care delivery within a medical group setting (physician group, IPA, or multispecialty clinic)
Proven track record of delivering performance improvements at a scale of
$10 million+
in annual shared savings, quality incentives, or risk‑adjusted revenue
Direct experience managing
delegated Medicare Advantage risk
contracts with accountability for risk adjustment, quality, and cost outcomes
Demonstrated success building performance infrastructure and processes in a data‑first environment
Hands‑on operator experience, not solely strategic management
Technical Skills
Deep expertise in CMS‑HCC and Rx‑HCC risk adjustment methodologies, including coding guidelines, RAF score calculation, and recapture strategies
Comprehensive knowledge of
quality measures
including HEDIS, Medicare Stars ratings, eCQMs, and MIPS
Strong understanding of
cost of care management
including utilization patterns, network steerage, and care coordination models
Advanced proficiency in
data analysis
with ability to work in Excel, SQL, or analytics platforms to derive insights
Experience with
EMR systems
(Epic, Cerner, or comparable) for clinical data extraction and documentation review
Financial modeling capabilities for PMPM analysis, benchmark calculations, and contract performance evaluation
Core Competencies
Analytical mindset : Natural pattern recognition, comfort with ambiguity, and ability to translate complex data into clear recommendations
Process orientation : Systematic approach to building scalable workflows and operational standards
Proactive execution : Self‑starter who identifies problems and implements solutions without waiting for direction
Communication : Ability to influence clinical and operational stakeholders through data‑driven storytelling
Healthcare compliance : Understanding of HIPAA, CMS regulations, and audit requirements
Education
Bachelor's degree in Healthcare Administration, Public Health, Data Analytics, Business, or related field
Master's degree preferred (MHA, MMM, MBA, or similar)
Preferred Qualifications
Experience with MSSP (ACO REACH or LEAD models) and commercial risk contracts
Background in multispecialty group transformation from fee‑for‑service to value‑based care
Familiarity with population health technology platforms (Arcadia, HealthEC, Innovaccer, or comparable)
Experience with coding education and provider engagement strategies
Knowledge of social determinants of health (SDOH) and health equity initiatives
Clinical background (RN, MD, or allied health professional) with transition to analytics/operations
Schedule Monday through Friday, standard business hours (flexibility for occasional early/late meetings)
Location In office preferred, Everett, WA. Part‑time work from home may be considered.
Work Modality Primarily computer‑based work using phone, email, EMR systems, and analytical software.
Physical Demands Ability to remain sedentary for extended periods; intermittent standing, walking, and lifting up to 25 lbs.; reasonable accommodations available for individuals with disabilities.
Competitive annual salary range of $130,000 - $150,000, with significant performance‑based incentive opportunity tied to value‑based care results. Comprehensive benefits package including medical, dental, vision, retirement plan with employer contribution, paid time off, and continuing education support.
#J-18808-Ljbffr