What are the responsibilities and job description for the Executive Director, Medicaid ACO position at RHC Group Management LLC?
Provider-Centered. Patient-Focused. Built for What Healthcare Should Be.
At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.
Our mission is simple: improve lives through high-quality continuous care. Through connected care teams, innovative tools, and collaborative culture, we are creating a healthcare experience where patients are known, supported, and never have to start over.
Whether you are caring directly for patients, supporting operations, or helping grow our organization, you will join a team that values your expertise, encourages your growth, and empowers you to make a meaningful impact every day.
If you are looking for more than just a job, if you are looking for a purpose-driven career where your work truly matters, we would love to meet you.
This Executive Director, Medicaid ACO supports our mission through owning the strategy, P&L performance, and multi-market growth of the organization’s Medicaid ACO business unit. This leader sets the vision and executes a comprehensive operating plan that delivers financial discipline, quality outcomes, and member experience- while building strong external partnerships and ensuring full regulatory compliance.
Operating Responsibilities
- Own full P&L for the Medicaid ACO business unit; develop the annual budget and strategic plan, track, key drivers and KPIs, and adjust initiatives to meet aggressive margin and utilization targets.
- Lead monthly performance reviews that surface risks/opportunities and present mitigation plans to executive leadership.
- Define and execute the national growth strategy for Medicaid risk programs, including market assessments, portfolio design of risk arrangements, and execution of new deals/expansions in coordination with regional leadership.
- Spearhead high impact initiatives (care management, quality improvement, utilization management, network optimization) to achieve targets in admissions/readmissions, total cost of care, and member experience
- Lead Medicaid health plan development activities (business requirements, operating model design) and partner with plan leadership to implement end-to-end functions (benefit ops, claims/data flows, reporting)
- Build and maintain relationships with state regulators (e.g., Executive Office of Health and Human Services, Division of Insurance); review and approve regulatory deliverables prior to executive signoff and submission.
- Represent the organization in external forums (Boards, conferences, payer/regulator meetings) and—where applicable—partner with federal stakeholders
- Use robust analytics to drive data‑informed decisions; develop models and ad hoc analyses to understand historical trends and forecast performance; translate insights into actionable programs at scale
- Communicate performance insights and complex program information clearly to internal and external stakeholders.
- Ensure compliance with all Medicaid ACO Agreement requirements and applicable laws, rules, and regulations; establish internal controls and readiness for audits.
- Lead governance structures for the Medicaid ACO (steering committees, leadership councils) and present to executive/board bodies as needed
- Directly supervise program leaders and distributed staff; build a high performing operations unit and foster talent development, accountability, and a culture of continuous improvement
Specialized Knowledge and Skills
- Progressive leadership experience overseeing complex risk‑based programs with direct financial accountability and multimarket scale.
- Demonstrated success driving program performance through cross functional execution, data‑driven decision making, and portfolio optimization of risk arrangements.
- Deep familiarity with Medicaid managed care/ACO operations, MassHealth or comparable state programs, network development, and regulatory engagement.
Education
- Master’s degree is strongly preferred (e.g., MBA, MHA, MPH or related).
- Bachelor’s degree required; advanced degree in a healthcare related field strongly preferred.
Why You Will Love Working Here
We take care of our team so they can take care of patients. Benefits include:
- Medical, dental, and vision coverage
- Company funded HSA exclusive healthcare discounts
- Competitive base salary with annual bonus opportunity
- 401(k) with company match
- Company paid life insurance
- Flexible time off Vacation Exchange Program
What We Value
Trust. Ownership (Together). Compassion. Relentless Progress. These values shape how we show up for patients — and for each other.
Bookmark Medical is committed to a workplace that supports and sustains inclusion and belonging. Bookmark Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.
Salary : $175,000 - $225,000