Demo

Associate Director ACO Operations

CINQCARE
Washington, DC Full Time
POSTED ON 12/5/2024
AVAILABLE BEFORE 4/1/2025
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:

  • 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).

Background:

  • Proven experience in ACO operations, healthcare management, or value-based care
  • Strong leadership skills with the ability to influence and engage both internal teams and external stakeholders.
  • Knowledge of clinical operations, TCOC, and population health management.
  • Ability to operate in a matrixed environment with a passion for high-quality, value-based care.
  • Knowledge of CMS programs and guidelines

Education:

  • Bachelor’s Degree in Business Administration, Healthcare Management, or a related field; Master’s Degree preferred.
  • 5 years of experience in healthcare management , with at least 2 years in a practice/provider facing role.
  • Experience in value-based
  • Masters Preferred (or ongoing Masters Preparation). MBA, MHA, MPH

Knowledge And Skills:

  • Proficiency with Microsoft office programs (PowerPoint and excel)
  • 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
  • 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.ck

About The Job

As the Associate Director of ACO Operations, you will play a critical role in leading performance oversight and driving operational excellence for CINQCARE's high-needs Accountable Care Organization (ACO). In partnership with the Senior Vice President and other internal stakeholders, you will manage and execute on ACO objectives, including performance optimization , Total Cost of Care (TCOC) management, program operations, and engagement with participating practices and providers. You will support operations across the ACO and interface with participating practices in addition to the Centers of Medicare & Medicaid Innovation center as necessary. The Associate Director should embody CINQCARE’s core values, including Trusted, Empathetic, Committed, Humble, Creative and Community-Minded.

Deliverables for the Associate Director of ACO Operations will include:

  • Key Responsibilities:
    • Performance & Practice Engagement: Lead day-to-day practice engagement, providing guidance and support to practices participating in CINQCARE's high-needs ACO.
    • Operational Execution: Collaborate with centralized functions to deploy, enhance, and maximize performance, while ensuring high levels of practice engagement and continuous improvement across ACO operations.
    • Strategic Leadership: Work closely with senior leadership and executives across operational, clinical, and business development areas to support the strategic growth of CINQCARE's ACO.
    • Cost of Care Initiatives: Co-Develop and implement Total Cost of Care (TCOC) initiatives based on segmentation and population health drivers. Work with internal teams to evaluate, iterate, and improve these initiatives to support high-quality care for CINQCARE's high-needs population.
    • Data-Driven Solutions: Partner with internal Data and Analytics teams to understand drivers of healthcare utilization and implement data-driven solutions at the local care team level.
    • Performance Improvement: Lead performance improvement initiatives spanning across the ACO aimed at optimizing ACO performance by working with practices to reduce unnecessary hospitalizations, emergency room visits, and specialty referrals.
  • Collaborative Engagement:
    • Provider Management: Collaborate with internal and external stakeholders to manage and support provider performance in CINQCARE’s high-needs ACO. Develop strategies for enhancing provider engagement and ensuring high levels of performance.
    • Education & Training: Assist in delivering educational content related to complex care delivery, with a focus on geriatrics, palliative care, chronic disease management, social determinants of care, and the integration of primary and behavioral health services.
    • CMS Compliance: Interface with CMS when necessary to ensure compliance with the evolving regulations impacting CINQCARE's high-needs ACO and implement necessary operational changes.
  • Operational Management:
    • Work in collaboration with the internal ACO REACH team to meet the operational needs of participating practices.
    • Identify and address any concerns raised by practices or within the ACO team, ensuring continuous improvement in the delivery of care and operations.
This role offers the opportunity to lead with empathy, strategic foresight, and a focus on enhancing the quality of care provided to CINQCARE’s high-needs

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.

Compensation: From $140,000.00 to $160,000.00 per year

Salary : $140,000 - $160,000

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