About IntraCare

IntraCare Health Center (DFW Healthcare MSO) proudly serves the greater Dallas-Ft. Worth and Phoenix, Arizona areas with a decade of excellence in value-based care and clinic operations. Our outstanding leadership and commitment to service have established us as a trusted partner for multiple healthcare organizations.

At IntraCare, we believe in more than just a job; we offer a vibrant workplace where culture and collaboration thrive. We are dedicated to fostering an inclusive environment that values diverse perspectives and promotes respectful dialogue. Our approach encourages innovation and healthy debate, as we seek to build a team of dedicated partners who contribute to our collective success. We are passionate about empowering our employees, helping them grow both personally and professionally. This unwavering focus on team culture and individual development is the cornerstone of our ongoing achievements.

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.

The ideal candidate will have prior senior level experience managing multi-site primary care clinics and also have prior senior level experience managing in an affiliated clinic environment focusing on value-based care initiatives.

This executive will lead the strategic transition from FFS to full-risk Value-Based Care. This executive will be an operator rather than a theoretical strategist. This person must be 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.

The COO serves as a core member of the executive leadership team and provides direct operational reporting to the Chief Executive Officer and Board of Directors.

Essential Duties and Responsibilities

1. Strategic Transformation Leadership

• Lead the organizational transition from fee-for-service to full-risk Medicare Advantage and MSSP models.
• Develop and execute a comprehensive operational transformation plan aligned to risk-based reimbursement and enterprise growth.
• Align clinical, financial, operational, and technology strategies under a unified framework.
• Establish scalable operating models to support sustained performance in risk-bearing environments.

2. Enterprise Operational Oversight

• Oversee daily operations across employed and affiliate clinic networks in multiple markets.
• Standardize workflows to support risk adjustment accuracy, documentation integrity, quality measure performance, and care gap closure.
• Optimize provider productivity and clinic throughput within a value-based model.
• Ensure consistent service excellence and operational efficiency across all locations.

3. Financial & Risk Accountability

• Oversee utilization management and population health performance initiatives.
• Partner with Finance to support budgeting, forecasting, and P&L management.
• Monitor risk-bearing contracts and financial exposure to ensure sustainability and regulatory compliance.

4. Quality, Compliance & Regulatory Oversight

• Ensure compliance with Medicare Advantage, CMS, MSSP, and all applicable federal and state regulations.
• Maintain audit readiness and program integrity standards.
• Drive performance across HEDIS measures, Star ratings, and other quality benchmarks.
• Implement risk mitigation strategies to protect operational and financial outcomes.

5. Revenue Cycle & Fee-For-Service Execution

• Daily Financial Discipline: Enforce strict daily cash and charge closure processes across all clinic locations.
• Ensure 100% compliance with 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.
• Must be able to actively pull raw encounter reports, track clean claim metrics, analyze denial trends, and monitor unbilled visits personally.
• Must have the ability to 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.

6. 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.

7. 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, performance expectations without creating a culture of complacency.
• Serve as both operational shield and performance driver.

8. Performance Metrics & Board Reporting

• Define and monitor key enterprise KPIs including:
• • MLR performance
  • Risk adjustment capture and coding accuracy
  • Quality and Star metrics
  • Patient census growth and retention
  • Provider productivity
  • Cost management performance
• Provide structured operational reports to the CEO and Board of Directors.
• Translate business analytics into measurable operational improvements.

9. Leadership & Organizational Development

• Build and lead high-performing operational teams across markets.
• Design staffing models aligned with clinic growth and patient demand.
• Develop leadership succession planning and bench strength.
• Foster a culture of accountability, resilience, and continuous improvement.

10. Technology & Infrastructure Optimization

• Lead integration and optimization of healthcare information systems and reporting platforms.
• Improve EMR utilization to support documentation accuracy, risk adjustment capture, and care coordination.
• Advance operational automation and analytics capabilities.

11. Stakeholder & Affiliate Relations

• Serve as the primary operational liaison for affiliate clinic partners.
• Maintain strong relationships with payers, regulators, and strategic partners.
• Ensure affiliate alignment with enterprise risk-based performance objectives.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field required.
• Master’s degree (MBA, MHA, or related) preferred.
• Minimum 7–10 years of progressive senior leadership experience in healthcare operations.
• Demonstrated experience leading organizations from fee-for-service to full-risk or value-based reimbursement models.
• Direct experience in Medicare Advantage, MSSP, or similar risk-bearing environments required.
• Proven oversight of MLR performance and utilization management.
• Experience designing or overseeing enterprise Business Continuity Plans (BCP) or resilience frameworks.
• Strong financial acumen with P&L responsibility.
• Experience leading multi-site clinic operations and affiliate networks.
• Executive-level communication and Board reporting experience.
• Proficiency in healthcare information systems and data analytics tools.

Physical & Travel Requirements

• Regular travel between clinic markets and corporate locations.
• Combination of executive strategic responsibilities and on-site operational engagement.
• Ability to respond to crisis or emergency operational needs when required.

Equal Opportunity Statement

IntraCare is an equal opportunity employer and complies with all applicable federal, state, and local employment laws.