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Associate Director, ACO Operations

Operations | Remote in Washington, DC | Full Time | From $140,000 to $165,000 per year

Job Description

About CINQCARE

CINQCARE is an innovative health and care company on a mission to eliminate barriers and to improve care in high-need, urban and rural communities. CINQCARE’s purpose is to every day improve the health and well-being of those who need care the most – in their homes and communities.

Overview

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. This position reports to the Title. The Associate Director should embody CINQCARE's core values, including Trusted, Empathetic, Committed, Humble, Creative, and Community­ Minded.

Primary Responsibilities

The Associate Director of ACO Operations will have the following responsibilities:

  • Collaborate with centralized functions to deploy, enhance, and maximize performance, while ensuring high levels of practice engagement and continuous improvement across ACO operations.
  • 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.
  • Partner with internal Data and Analytics teams to understand drivers of healthcare utilization and implement data-driven solutions at the local care team level.
  • 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.
  • 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.
  • Interface with CMS when necessary to ensure compliance with the evolving regulations impacting CINQCARE's high-needs ACO and implement necessary operational changes.
  • 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.

General Duties

The Associate Director should have the following duties:

  • Leadership: The Associate Director will lead day-to-day practice engagement, providing guidance and support to practices participating in CINQCARE's high-needs ACO.
  • Strategy: The Associate Director will work closely with senior leadership and executives across operational, clinical, and business development areas to support the strategic growth of CINQCARE's ACO
  • Collaboration: The Associate Director will 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.
  • Knowledge: The Associate Director will provide subject matter expertise in ACO solutions, including determining and recommended approaches for solution deployment and performance evaluation.
  • Culture: The Associate Director is accountable for creating a productive, collaborative, safe and inclusive work environment for the ACO team and as part of the larger Company.

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.
  • Bachelor’s degree in business administration, Healthcare Management, or a related field; Master’s Degree preferred.
  • Master's degree in economics, statistics, finance, business, public health or health administration or related field (preferred)

Experience:

  • 5+ years of experience in healthcare management, with at least 2 years in a practice/provider facing role.
  • Experience in value-based
  • 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
  • Proficiency with Microsoft office programs (PowerPoint and excel) 
  • 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.
  • Ability to build and effectively manage relationships with business leaders and external constituents.
  • Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced, demanding, and entrepreneurial Company.

Benefits

CINQCARE provides all employees working an average of 30+ hours/week with a comprehensive benefits package including 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:

Work is performed indoors in a setting with air conditioning and artificial light. Travel to and work in offices or other environments is required. 

In this position you will need 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 10 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.

Equal Opportunity & Reasonable Accommodation Statement

Care Medical Practice is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law.

If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.