Chief Operating Officer

Position Summary

The Chief Operating Officer (COO) is responsible for enterprise-wide operational leadership across IntraCare’s Medicare Shared Savings Program (MSSP) Accountable Care Organization and Medicare Advantage full-risk operations, inclusive of employed and affiliate clinic networks.

This executive will lead the strategic transition from FFS to full-risk Value-Based Care. We do not need a theoretical strategist; we need a highly tactical, hands-on operator who will personally drive daily execution, enforce P&L discipline, and hold clinical and administrative teams strictly accountable to volume and quality targets.

Essential Duties & Performance Expectations

Revenue Cycle & Fee-For-Service Execution

Daily Financial Discipline:
Enforce strict daily cash and charge closure processes across all clinic locations. Ensure 100% compliance to the daily cash and charge closure process. To ensure month-end Revenue goals are on target, ensure active Daily Closure tracking and reporting for all locations, raise queries where shortfalls are reported, and take corrective actions. Implement zero-tolerance standards for unclosed encounters and lagging charge capture.

Hands-On EMR Leadership:
Must be a hands-on AthenaHealth/EMR super-user capable of operating independently. You will actively pull raw encounter reports, track clean claim metrics, analyze denial trends, and monitor unbilled visits yourself. Audit revenue integrity directly rather than relying solely on analytics teams or layered reporting structures.

Throughput & Volume Management:
Ensure 100% of patients leave with scheduled follow-up appointments when clinically appropriate. Actively manage scheduling, cancellation, and reschedule patterns. Align productivity bonus models to drive appropriate volume ingestion and minimize appointment reschedules.

Value-Based Care & Risk Management Execution

Medical Cost Control:
Directly manage Medical Expense Ratio (MER/MLR) performance. Oversee execution of the Senior Access Model (SAM) to ensure high-risk senior populations are seen at required clinical intervals.

Utilization Oversight:
Track and monitor admissions on a daily basis for all referral cases. Ensure providers are consistent and compliant in the referral procedure, ensuring the referral decision made is based on merit. Ensure a strong Patient Connect process is available to track the patient at each stage of the referral cycle and ensure the patient is connected back to the primary clinic. Rigorously manage referral patterns to prevent unnecessary out-of-network leakage.

Physician & Clinical Accountability

Productivity Management:
Monitor provider patient visits weekly to ensure visit volume is sustained. Establish and enforce provider productivity standards (e.g., visit volume targets). Directly address underperformance through structured improvement plans. Conduct timely, data-backed performance discussions with physicians and mid-levels.

Balanced Leadership Model:
Remove administrative friction and operational waste that impairs provider efficiency. Simultaneously enforce performance expectations