Director ACO Performance - CINQCARE

Why CINQCARE is Different

CINQCARE is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to Black and Brown communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our Family Members’ race, culture, and environment is critical to delivering improved health outcomes. By empowering Family Members, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care.

About You

The Associate Director ACO Performance should have the following qualifications:

· Education:

o Bachelor’s degree in economics, statistics, mathematics, actuarial science, or a related field, OR 5+ years of equivalent experience in healthcare economics or data analytics in the medical field. Master's degree in economics, statistics, finance, business, or health administration or related field (preferred).

· Experience:

o 5+ years of years of Medicare-related experience with payer, provider or value-based contracting.

o Excellent computer skills required with advanced level of proficiency with Microsoft Office applications including Word, Excel, PowerPoint, and Outlook.

o Ability and expertise in querying data in a repository to develop actionable clinical and economic insights for practices in value-based care arrangements

o A willingness to explore and learn new or unfamiliar applications and databases, and when prepared to teach practices and team members how to maximize technology.

o Knowledge of statistical software and other analytic software and programming languages.

Knowledge and Skills:

• Proficiency with SQL, SAS and/or other data management programs (preferred)
• Proficincy with query tools, database platforms, data mapping/ETL, system platforms and software packages platforms (preferred)
• Experience working in an Enterprise Data Warehouse environment or multiple source data warehouse (preferred)
• Previous experience working in data analytics or healthcare economics with a focus on ACOs or other value-based care arrangements
• Master's degree in economics, statistics, finance, business, or health administration or related field (preferred)
• Medicare experience (preferred)
• Problem solving and critical thinking skills.
• Excellent attention to detail
• Effective public speaking skills and data visualization skills
• Excellent verbal, written communication, presentation, and data visualization skills; ability to clearly articulate and present concepts and models in an accessible manner to CINQCARE’s team, investors, partners, and other stakeholders.
• Desire to work in a fast-paced, dynamic environment.
• Relationships: Ability to build and effectively manage relationships with business leaders and external constituents.
• Culture: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

About the Job

The Associate Director ACO Performance is accountable for providing strategic insights and analysis to support CINQCARE’s development of accountable care products and services, with a focus on clinical and economic evaluations, operational efficiency, and financial improvements across our high needs-focused Medicare accountable care organization. Additionally, this role will provide support and consultation to participating practices in CINQCAREs high-needs ACO as well as enterprise leaders related to clinical, financial, utilization, and actuarial reporting related to CINQCARE’s ACO and value-based care initiatives. The Associate Director should embody CINQCARE’s core values, including Trusted, Empathetic, Committed, Humble, Creative and Community-Minded.

The Associate Director ACO Performance will have the following responsibilities:

· Provide strategic economic insights to support the development and implementation of CINQCARE’s accountable care products and services

· Identify and analyze economic trends and prepare clinical and economic evaluations of cost-effectiveness for a comprehensive accountable care product portfolio

· Develop and analyze economic models, including cost-effectiveness models, to enhance CINQCARE's healthcare offerings

· Analyze Medicare claims and other healthcare data sources available to develop and support strategic initiatives aimed at supporting the ACOs contractual performance

· Collaborate closely with other departments, ensuring alignment in strategic goals and operational improvements

· Provide superior customer service and communicate effectively, both written and verbally

· Deliver insights on economic and clinical data that will support decision-making in value-based arrangements

The Associate Director Performance Reporting will also have the following duties:

· Leadership: The Associate Director ACO Performance will lead in defining and executing strategies and solutions to create business value in the high-needs ACO and value-based care areas, including supporting the ACO team in designing, developing, and executing those strategies and solutions to deliver desired outcomes.

· Strategy: The Associate Director ACO Performance will establish the business strategy and associated analytics to: (1) improve outcomes for CINQCARE high-needs ACO members; and (2) develop and deliver external high-needs ACO participating practice opportunities for CINQCARE Care ACO products and services.

· Collaboration: The Associate Director ACO Performance will ensure that healthcare economics capabilities form a cohesive offering, including by working closely with other business divisions to learn their needs, internalize their knowledge, and define solutions to achieve the business objectives of CINQCARE.

· Knowledge: The Associate Director ACO Performance will provide subject matter expertise in data-based analysis and solutions.

· Culture: The Associate Director ACO Performance is accountable for maintaining a productive, collaborative, safe and inclusive work environment for the team and as part of the larger Company.

: Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

CINQCARE provides all employees working an average of 30+ hours/week with the option to enroll in healthcare benefits. The cost of healthcare is shared between the company and the employee.

The working environment and physical requirements of the job include:

This position requires both in-home and office-based work. The job requires frequent travel for home visits and travel to physician offices, hospitals, sub-acute facilities, community partners and non-home-based market offices in all types of weather conditions. In-office work is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.

In this position you will need an ability to travel frequently by car and/or public transportation, the ability to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 30 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.